Organization
SJS OF HIGH POINT
Active
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
Update your record
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