Healthcare Provider Details
I. General information
NPI: 1841529690
Provider Name (Legal Business Name): AMERICA'S BEST VISION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/08/2009
Last Update Date: 12/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2430 S CHURCH ST
BURLINGTON NC
27215-5202
US
IV. Provider business mailing address
2430 S CHURCH ST
BURLINGTON NC
27215-5202
US
V. Phone/Fax
- Phone: 336-587-8898
- Fax:
- Phone: 336-587-8898
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 156F00000X |
| Taxonomy | Technician/Technologist |
| License Number | 0700 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 156FC0800X |
| Taxonomy | Contact Lens Technician/Technologist |
| License Number | 0700 |
| License Number State | TN |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 156FC0801X |
| Taxonomy | Contact Lens Fitter |
| License Number | 0700 |
| License Number State | TN |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 156FX1202X |
| Taxonomy | Optometric Technician |
| License Number | 0700 |
| License Number State | TN |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | 0700 |
| License Number State | TN |
VIII. Authorized Official
Name: MR.
JOHN
A
MARSH
Title or Position: BUSINESS OWNER
Credential:
Phone: 33665878898