NPI 1023290046

Gary Lee Vaughn, OPTICIAN

Practitioner Optician Indian Trail, NC

Practice location

Address: 622 Indian Trail Rd, Indian Trail, NC 28079
Phone: (704) 821-6700
Fax: (704) 821-8534

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 941 (NC)

Other Technician/Technologist providers in North Carolina →

Registry record

NPI: 1023290046
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Nov 2007
Record last updated: 30 Nov 2007

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.