NPI 1013107259

Lewisville Optical INC

Organisation Durable Medical Equipment & Medical Supplies Lewisville, NC

Practice location

Address: 6758 Shallowford Road, Lewisville, NC 27023
Phone: (336) 945-3716
Fax: (336) 945-3001
Mailing address: PO Box 399, Lewisville, NC 27023-0399

Authorised official

Name: Rickey Lee Sipe
Title: President
Phone: (336) 945-3716

Registered specialties

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X Licence 881 (NC)

Other Durable Medical Equipment & Medical Supplies providers in North Carolina →

Registry record

NPI: 1013107259
Entity type: Organization
NPI issued: 25 Jul 2007
Record last updated: 1 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.