Organization
SALEM OPTICAL OUTLET
Active
Other names
Salem Optical Company
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BILLIE TRADER LITWIN (PRESIDENT)
(336) 757-1120
Entity
Organization
Contact information
Practice address
4310 ENTERPRISE DR, SUITE I, WINSTON SALEM, NC 27106-3260
(336) 757-1120
Mailing address
4310 ENTERPRISE DR, SUITE I, WINSTON SALEM, NC 27106-3260
(336) 757-1120
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
NC
Other
Enumeration date
01/18/2017
Last updated
02/09/2017
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