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CAROLINA OPTICAL PARTNERS NPI 1043416597


NPI Information

NPI: 1043416597
Provider Name: CAROLINA OPTICAL PARTNERS

Doing Business As: CAROLINA OPTICAL SHOP SANFORD

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization

CLIA Number: 34D0990742

Address:
2047 VALLEYGATE DR
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 485-3937
Get Directions

CAROLINA OPTICAL PARTNERS is an eyewear supplier in Fayetteville, NC. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. CAROLINA OPTICAL PARTNERS NPI is 1043416597. The provider is registered as an organization entity type.
The provider Is Doing Business As Carolina Optical Shop Sanford.

The provider's business location address is:

2047 VALLEYGATE DR
FAYETTEVILLE, NC
ZIP 28304-688
Phone: (910) 485-3937

The provider's authorized official is Deborah L Woodcock .
The authorized official title is Secretary and has the following contact phone number (910) 485-3937.

The CLIA number assigned to this NPI record is 34D0990742 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/22/2007 and was last updated on 8/22/2020.


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
1332H00000XEyewear SupplierNOT REQUIRED IN SANFNORTH 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
18802093MEDICAIDNORTH 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: 4/28/2024

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