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Organization

EYEWEAR UNLIMITED OPTICAL SHOP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES DAVID BRANCH MD (OWNER)
(336) 723-0748
Entity
Organization

Contact information

Practice address
224 TOWN RUN LN, WINSTON SALEM, NC 27101-3911
(336) 723-0748
(336) 721-4711
Mailing address
224 TOWN RUN LN, WINSTON SALEM, NC 27101-3911
(336) 723-0748
(336) 721-4711

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
21915
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8801843
NC
Enumeration date
03/16/2007
Last updated
08/05/2008
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