Individual
MR. ROBERT CLYDE BISHOP JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1198
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40483
DAVIS VISION
NC
05
—
8802013
—
NC
01
—
NC8802013
SERVICES FOR BLIND
NC
Enumeration date
10/23/2006
Last updated
07/09/2007
Update your record
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