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Organization

FAIRMONT EYE CLINIC OD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMUEL DAVID JOHNSON OD (OWNER/ OPTOMETRIST)
(910) 628-8316
Entity
Organization

Contact information

Practice address
204 IONA ST, FAIRMONT, NC 28340-1616
(910) 628-8316
(910) 628-5642
Mailing address
PO BOX 648, FAIRMONT, NC 28340-0648
(910) 628-8316
(910) 628-5642

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
10/06/2025
Last updated
10/06/2025
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