Organization
HENDERSONVILLE OPTICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WALTER MCCALL JR. (OWNER)
(828) 693-6056
Entity
Organization
Contact information
Practice address
1733 BREVARD RD, LAUREL PARK VILLAGE, HENDERSONVILLE, NC 28791-3201
(828) 693-6056
(828) 693-5807
Mailing address
1733 BREVARD RD, LAUREL PARK VILLAGE, HENDERSONVILLE, NC 28791-3201
(828) 693-6056
(828) 693-5807
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
NC401
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8801702
—
NC
Enumeration date
06/22/2007
Last updated
08/22/2020
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