Organization
VISION SOURCE OF BRUNSWICK, OD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MICHAEL HOWARD OD (PRESIDENT)
(910) 457-6667
Entity
Organization
Contact information
Practice address
4633 LONG BEACH RD SE, SOUTHPORT, NC 28461-8798
(910) 457-6667
(910) 457-9530
Mailing address
4633 LONG BEACH RD SE, SOUTHPORT, NC 28461-8798
(910) 457-6667
(910) 457-9530
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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