NPI 1790163806

Johnston Ocular Prosthetics, INC

Organisation Customized Equipment (DME) Benson, NC

Practice location

Address: 7476 Old Fairground Rd, Benson, NC 27504-6105
Phone: (919) 207-2515
Fax: (919) 894-1335

Authorised official

Name: Lisa C Johnston
Title: President / Owner
Phone: (919) 207-2515

Registered specialties

Customized Equipment (DME) Primary

Suppliers Taxonomy 332BC3200X Licence NONE (NC)

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Registry record

NPI: 1790163806
Entity type: Organization
NPI issued: 8 May 2015
Record last updated: 8 May 2015

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.