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NPI Code Detail

MEDICARE: MR. ROBERT COLEE NAYLOR III OD

MEDICARE: MR. ROBERT COLEE NAYLOR III OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristNC2003NC

General Provider Information

NPI Number : 1871620922
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT COLEE NAYLOR III OD
Provider Business Mailing Address
First Line : 3701 S MAIN ST
Second Line :
City : HOPE MILLS
State : NC
Zip : 28348-1958
Country : US
Telephone Number : 910-423-0700
Fax Number : 910-423-0882
Provider Business Practice Location Address
First Line : 3701 S MAIN ST
Second Line :
City : HOPE MILLS
State : NC
Zip : 28348-1958
Country : US
Telephone Number : 910-423-0700
Fax Number : 910-423-0882
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 11/09/2012

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