Organization
20/20 VISION EXPRESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSANNA CANARIO LCDO. OPTICIAN (OWNER)
(919) 307-3693
Entity
Organization
Contact information
Practice address
5444 DALEVIEW DR, RALEIGH, NC 27610-1591
(919) 307-3693
Mailing address
4111 NEW BERN AVE, RALEIGH, NC 27610-1372
(919) 307-3693
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
1966
NC
332H00000X
Eyewear Supplier
Primary
1966
NC
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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