Organization
NORTH STATE OPTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHERRY BROUGHTON HILBURN (PRESIDENT OF CORPORATION OPTICIAN)
(910) 738-9335
Entity
Organization
Contact information
Practice address
4336 FAYETTEVILLE RD, LUMBERTON, NC 28358-2677
(910) 738-9335
(910) 738-2238
Mailing address
PO BOX 1168, LUMBERTON, NC 28359-1168
(910) 738-9335
(910) 738-2238
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
336
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01838
BCBS NC
NC
05
—
8801750
—
NC
Enumeration date
01/30/2006
Last updated
05/24/2013
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