Myrtle Grove Optical, Llc in Wilmington - Eyewear Supplier
Myrtle Grove Optical, Llc - NPI 1972716645
Myrtle Grove Optical, Llc is a Eyewear Supplier in Wilmington, North Carolina. Myrtle Grove Optical, Llc practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Myrtle Grove Optical, Llc is 1972716645. The last update date is 2020-08-22.
Myrtle Grove Optical, Llc's current location address is 1917 Tradd Ct, Wilmington, North Carolina. You can contact this provider via phone number 9107622300. The mailing address for Myrtle Grove Optical, Llc is 1917 Tradd Ct, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Myrtle Grove Optical, Llc |
|---|---|
| Address | 1917 Tradd Ct, Wilmington, North Carolina |
| Phone Number | 9107622300 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kelly G. Timothy |
| Credentials | M.D. |
| Telephone Number | 9107622300 |
NPI Number Detail
| NPI Number | 1972716645 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1917 Tradd Ct |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284016638 |
| Phone Number | 9107622300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
| Licence No | 735 |
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Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
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What is the unique 10-digit identification code issued to Myrtle Grove Optical, Llc by the Centers for Medicare & Medicaid Services?
The Myrtle Grove Optical, Llc has been assigned the NPI (National Provider Identifier) 1972716645 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Myrtle Grove Optical, Llc's facilities are geographically located?
The facilities of Myrtle Grove Optical, Llc are physically situated at the following location: 1917 Tradd Ct, Wilmington, NC, 284016638.
What is the Myrtle Grove Optical, Llc's area of specialization and corresponding taxonomy classification?
The Myrtle Grove Optical, Llc's specialty field is Eyewear Supplier, and it falls under the taxonomy code 332H00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1972716645 assigned to Myrtle Grove Optical, Llc?
The Myrtle Grove Optical, Llc was issued its 1972716645 on 2007-05-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Myrtle Grove Optical, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Myrtle Grove Optical, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.