Organization
GULF ATLANTIC OPTICAL
Active
Other names
H RUBIN VISION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT OLAN CRENSHAW JR. OPTICIAN (OWNER)
(828) 697-6767
Entity
Organization
Contact information
Practice address
520 S MAIN ST, HENDERSONVILLE, NC 28792-5306
(828) 697-6767
Mailing address
520 S MAIN ST, HENDERSONVILLE, NC 28792-5306
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1591
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8802042
—
NC
Enumeration date
08/26/2008
Last updated
08/26/2008
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