Whalio Doctors

NPI 1528113230

Vision Boutique INC

Organisation Customized Equipment (DME) Shelby, NC

Practice location

Address
212 W Dixon Blvd, Shelby, NC 28152-6522
Phone
(704) 482-9883
Fax
(704) 482-9842

Authorised official

Name
Jimmy Lee Morton
Title
Owner,manager,licensed Optician
Phone
(704) 482-9883

Registered specialties

Customized Equipment (DME) Primary
Suppliers Taxonomy 332BC3200X Licence 0528 (NC)

Registry record

NPI
1528113230
Entity type
Organization
NPI issued
24 Jan 2007
Record last updated
22 Aug 2020

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.