Organization
ROCKY MOUNT OPTICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH WATSON WALLACE JR. OPTICIAN (PRESIDENT)
(252) 443-6845
Entity
Organization
Contact information
Practice address
3309 SUNSET AVE, ROCKY MOUNT, NC 27804-1496
(252) 443-6845
Mailing address
PO BOX 8496, ROCKY MOUNT, NC 27804-1496
(252) 443-6845
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
263
NC
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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