Organization
PROGRESSIVE VISION OPTOMETRIC GROUP P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACI A PALMER O.D. (OPTOMETRIST/VICE-PRESIDENT)
(336) 841-2028
Entity
Organization
Contact information
Practice address
3929 TINSLEY DR, SUITE 101, HIGH POINT, NC 27265-1530
(336) 841-2028
(336) 841-2029
Mailing address
3929 TINSLEY DR, SUITE 101, HIGH POINT, NC 27265-1530
(336) 841-2028
(336) 841-2029
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1689
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
790911A
—
NC
Enumeration date
03/03/2008
Last updated
01/23/2012
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