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GOLD OPTICAL ENTERPRISE INC NPI 1184773608


NPI Information

NPI: 1184773608
Provider Name: GOLD OPTICAL ENTERPRISE INC
Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

Address:
1635 OWEN DR
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 483-0548
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GOLD OPTICAL ENTERPRISE INC is an optician technician technologist in Fayetteville, NC. GOLD OPTICAL ENTERPRISE INC NPI is 1184773608. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1635 OWEN DR
FAYETTEVILLE, NC
ZIP 28304-425
Phone: (910) 483-0548

The provider's authorized official is Lawrence R Bullock .
The authorized official title is Optician and has the following contact phone number (910) 483-0548.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 2/8/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1156FX1800XTechnician/TechnologistOptician454NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10203140001MEDICARE NSCNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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