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NPI Code Detail

MEDICARE: FAMILY OPTICAL LLC

MEDICARE: FAMILY OPTICAL LLC
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
1156FC0800XContact Lens Technician/Technologist
2156FC0801XContact Lens Fitter
3156FX1800XOptician

General Provider Information

NPI Number : 1568327765
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY OPTICAL LLC
Provider Business Mailing Address
First Line : 209 S FUQUAY AVE STE 120
Second Line :
City : FUQUAY VARINA
State : NC
Zip : 27526-2254
Country : US
Telephone Number : 919-567-0059
Fax Number : 919-567-0079
Provider Business Practice Location Address
First Line : 209 S FUQUAY AVE STE 120
Second Line :
City : FUQUAY VARINA
State : NC
Zip : 27526-2254
Country : US
Telephone Number : 919-567-0059
Fax Number : 919-567-0079
Authorized Official
Title or Position : OWNER
Name : HEATHER ALLEN
Credential : LDO, ABOC, NCLEC
Telephone Number : 919-567-0059
Provider Enumeration Date : 12/19/2025
Last Update Date : 12/19/2025

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Directions to “FAMILY OPTICAL LLC ” Practice Location

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