Organization
EYEGLASS SUPERMART
Active
Organization
EYEGLASS SUPERMART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P OWENS (OWNER)
(336) 992-0004
Entity
Organization
Contact information
Practice address
329 N MAIN ST, KERNERSVILLE, NC 27284-2882
(336) 992-0004
Mailing address
329 N MAIN ST, KERNERSVILLE, NC 27284-2882
(336) 992-0004
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1228
NC
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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