Organization
JOHN B. MARSHALL OPTOMETRIST PA
Active
Other names
Carolina Vision Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BRYAN MARSHALL O.D. (PRESIDENT)
(919) 732-5000
Entity
Organization
Contact information
Practice address
320 S CHURTON ST, HILLSBOROUGH, NC 27278-2509
(919) 732-5000
(919) 732-6855
Mailing address
320 S CHURTON ST, HILLSBOROUGH, NC 27278-2509
(919) 732-5000
(919) 732-6855
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NC
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1296470001
PTAN
NC
01
—
152W00000X
TAXONOMY NUMBER
NC
05
—
89013CT
—
NC
05
—
8909104
—
NC
Enumeration date
04/11/2007
Last updated
01/15/2013
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