Individual
IAN THOMAS RADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LDO,CPO
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1822
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1822
NC OPTICIAN LISCENSE
NC
Enumeration date
05/16/2007
Last updated
04/12/2017
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