Individual
JOHN ELLIS FLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
335 E PARKER RD, MORGANTON, NC 28655-5112
(828) 433-1000
(828) 433-6274
Mailing address
335 E PARKER RD, MORGANTON, NC 28655-5112
(828) 433-1000
(828) 433-6274
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1291
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0927C
BLUE CROSS BLUE SHIELD NC
NC
05
—
890927C
—
NC
Enumeration date
07/31/2006
Last updated
02/12/2008
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