Organization
SALEM OPTICAL OUTLET
Active
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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