Healthcare Provider Details

I. General information

NPI: 1194390765
Provider Name (Legal Business Name): VIEWMONT OPTOMETRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2021
Last Update Date: 05/25/2021
Certification Date: 05/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

336 10TH AVENUE NE
HICKORY NC
28601-3834
US

IV. Provider business mailing address

336 10TH AVENUE NE
HICKORY NC
28601-3834
US

V. Phone/Fax

Practice location:
  • Phone: 828-322-4973
  • Fax: 828-322-1636
Mailing address:
  • Phone: 828-322-4973
  • Fax: 828-322-1636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State

VIII. Authorized Official

Name: WALTER L KING JR.
Title or Position: PRESIDENT
Credential: OD
Phone: 828-322-4973