Organization Name: | DR CRYSTAL S HEFNER |
NPI Number: | 1053595736 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRYSTAL S HEFNER (OWNER) |
Mailing Address: | 130 1st St W Conover |
State: | NC US |
Postal Code: | 286132106 |
Phone Number: | 8284646030 |
Fax Number: | 8284656339 |
NPI Enumeration Date: | 12/18/2007 |
NPI Last Update Date: | 12/18/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | NC0990 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |