Organization
J DAVID AYCOCK, OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COURTNAY AYCOCK (OFFICE MANAGER)
(704) 283-2179
Entity
Organization
Contact information
Practice address
808 CIRCLE DR, MONROE, NC 28112-3800
(704) 283-2179
(704) 283-8314
Mailing address
808 CIRCLE DR, MONROE, NC 28112-3800
(704) 283-2179
(704) 283-8314
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1534
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890901A
—
NC
Enumeration date
10/27/2006
Last updated
03/03/2022
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