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Organization

CONCORD EYE CARE CENTER, O.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SONNIE BRYANT O.D. (PRESIDENT)
(704) 788-1170
Entity
Organization

Contact information

Practice address
2351 CONCORD LAKE RD, CONCORD, NC 28025-2813
(704) 788-1170
(704) 788-2165
Mailing address
2351 CONCORD LAKE RD, CONCORD, NC 28025-2813
(704) 788-1170
(704) 788-2165

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2056
NC

Other

Enumeration date
11/16/2012
Last updated
11/16/2012
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