Organization
KEITH OLIVER DR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH M OLIVER O.D. (OPTOMETRIST)
(336) 372-4493
Entity
Organization
Contact information
Practice address
18 S GRAYSON ST, SPARTA, NC 28675-9598
(336) 372-4493
(336) 372-2035
Mailing address
PO BOX 1119, SPARTA, NC 28675-1119
(336) 372-4493
(336) 372-2035
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NC995
NC
Other
Enumeration date
02/11/2008
Last updated
02/12/2008
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