MEDICARE: LINDA'S VISION CENTER

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
1	332H00000X	Eyewear Supplier	770	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	770	OTHER	NC	STATE LICENSE NUMBER

General Provider Information

NPI Number	:	1356531115
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINDA'S VISION CENTER

Provider Business Mailing Address
First Line	:	8813 E OAK ISLAND DR
Second Line	:
City	:	OAK ISLAND
State	:	NC
Zip	:	28465-8369
Country	:	US
Telephone Number	:	910-278-3182
Fax Number	:

Provider Business Practice Location Address
First Line	:	8813 E OAK ISLAND DR
Second Line	:
City	:	OAK ISLAND
State	:	NC
Zip	:	28465-8369
Country	:	US
Telephone Number	:	910-278-3182
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. LINDA A KUHN
Credential	:	OPTICIAN
Telephone Number	:	910-278-3182

Provider Enumeration Date	:	07/27/2007
Last Update Date	:	10/29/2008

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Directions to “LINDA'S VISION CENTER ” Practice Location

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