Individual
PATRICK MICHAEL MCLAREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1122 N BREAZEALE AVE, MOUNT OLIVE, NC 28365-1121
(919) 658-0474
(919) 658-0487
Mailing address
1122 N BREAZEALE AVE, MOUNT OLIVE, NC 28365-1121
(919) 658-0474
(919) 658-0487
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1896
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0669420002
DMERC
NC
01
—
093NN
BCBS
NC
05
—
89093NN
—
NC
Enumeration date
03/24/2006
Last updated
03/28/2008
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