MR. MARK LEE HATHAWAY OPTICIAN NPI 1659577021

NPI Information

NPI: 1659577021
Provider Name: MR. MARK LEE HATHAWAY, OPTICIAN
Classification: Technician/Technologist - 156FX1800X
Entity Type: Individual

Specialization: Optician

Address:
1800 SKIBO RD
STE 148
FAYETTEVILLE, NC
ZIP 28303
Phone: (910) 487-1863
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MR. Mark Lee Hathaway, OPTICIAN is an optician technician technologist in Fayetteville, NC. MR. Mark Lee Hathaway, OPTICIAN NPI is 1659577021. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1800 SKIBO RD
STE 148
FAYETTEVILLE, NC
ZIP 28303
Phone: (910) 487-1863

The enumeration date for this NPI number is 6/22/2007 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1800X	Technician/Technologist	Optician	335	NORTH CAROLINA	Yes

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

NPI Synchronization or Removal

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