NPI 1447540356

G. M. Conekin, III, OD, PA

Organisation Optometrist Jacksonville, NC

Practice location

Address: 200 Doctors Dr Suite K, Jacksonville, NC 28546-6310
Phone: (910) 353-0541
Fax: (910) 353-5353
Mailing address: 200 Doctors Drive Suite K, Jacksonville, NC 28546-6308

Authorised official

Name: George M. Conekin
Title: Owner
Phone: (910) 353-0541

Registered specialties (11)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1181 (NC)

Other Optometrist providers in North Carolina →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2082 (NC)

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2122 (NC)

Corneal and Contact Management Optometrist

Eye and Vision Services Providers Taxonomy 152WC0802X Licence 2082 (NC)

Corneal and Contact Management Optometrist

Eye and Vision Services Providers Taxonomy 152WC0802X Licence 2122 (NC)

Low Vision Rehabilitation Optometrist

Eye and Vision Services Providers Taxonomy 152WL0500X Licence 1181 (NC)

Pediatric Optometrist

Eye and Vision Services Providers Taxonomy 152WP0200X Licence 1181 (NC)

Pediatric Optometrist

Eye and Vision Services Providers Taxonomy 152WP0200X Licence 2082 (NC)

Pediatric Optometrist

Eye and Vision Services Providers Taxonomy 152WP0200X Licence 2122 (NC)

Sports Vision Optometrist

Eye and Vision Services Providers Taxonomy 152WS0006X Licence 1181 (NC)

Vision Therapy Optometrist

Eye and Vision Services Providers Taxonomy 152WV0400X Licence 1181 (NC)

Registry record

NPI: 1447540356
Entity type: Organization
NPI issued: 12 Apr 2011
Record last updated: 12 Apr 2011

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.