Healthcare Provider Details
I. General information
NPI: 1992139901
Provider Name (Legal Business Name): AMERICA'S BEST CONTACTS & EYEGLASSES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/27/2013
Last Update Date: 08/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4600 DURHAM CHAPEL HILL BLVD
DURHAM NC
27707-2669
US
IV. Provider business mailing address
296 GRAYSON HWY
LAWRENCEVILLE GA
30046-5737
US
V. Phone/Fax
- Phone: 919-251-8033
- Fax: 919-251-8948
- Phone: 770-822-3600
- 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:
LEAHANN
VAUGHN
Title or Position: MANAGED CARE COORDINATOR
Credential:
Phone: 770-822-3600