Individual
ANDREW HUMISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
225 E LEE AVE, YADKINVILLE, NC 27055-8227
(336) 679-2931
Mailing address
225 E LEE AVE, YADKINVILLE, NC 27055-8227
(336) 679-2931
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2901
NC
152W00000X
Optometrist
Primary
OPT.007167
OH
Other
Enumeration date
03/06/2023
Last updated
04/17/2026
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