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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACKSONVILLE VISION CENTER, O.D.,PLLC

Deactivated Organization

JACKSONVILLE VISION CENTER, O.D.,PLLC is a Optometrist organization located in JACKSONVILLE, North Carolina. NPI 1578867057 is deactivated in the NPPES registry. Verify at CMS.

Optometrist · JACKSONVILLE, NC

This NPI has been deactivated. The record was deactivated on January 20, 2011. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1578867057
Provider Type
Organization
NPI Issued
Dec 27, 2010 (0.065753424657534 yrs)
Last Updated
Feb 2, 2011
Deactivated
Jan 20, 2011
License
1970 (NC)

Practice Information

Address
409 WESTERN BLVD
SUITE 700
JACKSONVILLE, NC, 285466528
Browse NC providers · Browse ZIP 28546
Phone
9102193937
Primary Specialty
Optometrist
152W00000X

Other Optometrist Organizations in JACKSONVILLE, NC

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.