Organization
VISION INTERNATIONAL PA
Active
Organization
VISION INTERNATIONAL PA
Active
Other names
Carolina Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG GARDNER (CHIEF OPERATING OFFICER)
(910) 221-3670
Entity
Organization
Contact information
Practice address
2047 VALLEYGATE DR, FAYETTEVILLE, NC 28304-3688
(910) 485-3937
(910) 221-3672
Mailing address
2047 VALLEYGATE DR, FAYETTEVILLE, NC 28304-3688
(910) 485-3937
(910) 221-3672
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89016ME
—
NC
Enumeration date
12/04/2006
Last updated
02/17/2025
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