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WINSTON SALEM INDUSTRIES FOR THE BLIND NPI 1720243363


NPI Information

NPI: 1720243363
Provider Name: WINSTON SALEM INDUSTRIES FOR THE BLIND
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization

CLIA Number: 34D2002053

Address:
7730 N POINT BLVD
OPTICAL DISPENSARY
WINSTON SALEM, NC
ZIP 27106
Phone: (336) 759-2257
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WINSTON SALEM INDUSTRIES FOR THE BLIND is an eyewear supplier in Winston Salem, NC. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. WINSTON SALEM INDUSTRIES FOR THE BLIND NPI is 1720243363. The provider is registered as an organization entity type.

The provider's business location address is:

7730 N POINT BLVD
OPTICAL DISPENSARY
WINSTON SALEM, NC
ZIP 27106-310
Phone: (336) 759-2257
Fax: (336) 759-7778

The provider's authorized official is George C Goodwin .
The authorized official title is Optical Operations Manager and has the following contact phone number (336) 245-5628.

The CLIA number assigned to this NPI record is 34D2002053 - industrial with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/23/2008 and was last updated on 7/23/2008.


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
1332H00000XEyewear SupplierNORTH 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
18802011MEDICAIDNORTH 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.