Organization
HAMPSTEAD OPTOMETRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI FARABAUGH OD (PRESIDENT)
(856) 495-0031
Entity
Organization
Contact information
Practice address
16747 US HIGHWAY 17 N STE 140, HAMPSTEAD, NC 28443-3695
(856) 495-0031
Mailing address
101 DRAKE RD, HAMPSTEAD, NC 28443-2550
(856) 495-0031
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770685372
—
NC
Enumeration date
03/14/2019
Last updated
06/11/2019
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