Organization
YADKIN VISION CENTER, OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT H. MUNN OD (PRESIDENT)
(336) 679-2931
Entity
Organization
Contact information
Practice address
902 W MAIN ST, YADKINVILLE, NC 27055-7807
(336) 679-2931
(336) 677-6486
Mailing address
PO BOX 1757, YADKINVILLE, NC 27055-1757
(336) 679-2931
(336) 677-6486
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1264
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890990A
—
NC
Enumeration date
05/25/2006
Last updated
03/07/2008
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