Organization

Asheboro Optometric Vision Pa

Optometrist in Asheboro, NC(View on Map)

Legal Business Name

Asheboro Optometric Vision Pa

NPI Number

1306978069

NPI Type

Organization

Enumeration Date

03/09/2007

Specialties

(Taxonomies)

Code

152W00000X

Primary Taxonomy

Yes

Licenses

State

North Carolina

License Number

1200

Contact
Information

Purpose

Mailing
Location

Address

177 NC HIGHWAY 42 N STE B
177 NC HIGHWAY 42 N STE B

City

Asheboro
Asheboro

State

NC
NC

Postal Code

27203-7955
27203-7955

Country

US
US

Telephone Number

(336) 625-2429
(336) 625-2429

Authorized Official

Name

Dr. Mark Roberts

Title or Position

PRESIDENT

Telephone Number

(336) 625-2429

Identifiers

Identifier

1962684605
09778
8909778

Identifier State

NC
NC
NC

Identifier Issuer

INDIVIDUAL MEDICARE NPI
BCBS
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/18/2008

Provider Address

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Organization

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