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Organization

VAN G. DELLINGER, OD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VAN G DELLINGER OD (OPTOMETRIST)
(704) 435-2020
Entity
Organization

Contact information

Practice address
201 W CHURCH ST, CHERRYVILLE, NC 28021-2805
(704) 435-2020
(704) 435-5267
Mailing address
PO BOX 160, CHERRYVILLE, NC 28021-0160
(704) 435-2020
(704) 435-5267

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1182
NC
332H00000X
Eyewear Supplier
1182
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09223
BCBS PROVIDER
NC
05
7909223
NC
Enumeration date
03/14/2008
Last updated
12/02/2009
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