Organization
SJS OF HIGH POINT
Active
Other names
Optics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS DEAN SPARKS OPTICIAN (VICE PRESDENT)
(336) 882-0781
Entity
Organization
Contact information
Practice address
1710 LAZY LN, HIGH POINT, NC 27265-2418
(336) 882-0781
(336) 889-2035
Mailing address
1710 LAZY LN, HIGH POINT, NC 27265-2418
(336) 882-0781
(336) 889-2035
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1616
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
802072
—
NC
Enumeration date
02/19/2007
Last updated
08/22/2020
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