Organization
GASTON EYE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GASTON EYE ASSOCIATE DALLAS DME DME (OFFICE FOR DME)
(704) 922-9808
Entity
Organization
Contact information
Practice address
820 LOWER DALLAS HWY, DALLAS, NC 28034-9368
(704) 922-9808
(704) 922-8213
Mailing address
820 LOWER DALLAS HWY, DALLAS, NC 28034-9368
(704) 922-9808
(704) 922-8213
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1048
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0846090003
PALMETTO
NC
Enumeration date
02/12/2007
Last updated
08/22/2020
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