Healthcare Provider Details
I. General information
NPI: 1184316630
Provider Name (Legal Business Name): FREE PRESCRIPTION LENSES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/23/2023
Last Update Date: 05/23/2023
Certification Date: 05/23/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2609 N DUKE ST STE 601
DURHAM NC
27704-3048
US
IV. Provider business mailing address
PO BOX 71231
DURHAM NC
27722-1231
US
V. Phone/Fax
- Phone: 919-491-2411
- Fax: 919-220-6023
- Phone: 919-491-2411
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 156FX1800X |
| Taxonomy | Optician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SEEMORE
BETTER
Title or Position: OWNER
Credential: LDO
Phone: 919-491-2411