TRAVIS PICKENS

SOUTHPORT, NC
NPI1053346783
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: NC  2098)
Enumeration Date2006-07-11
Last Update Date2020-10-27
Business Address
TRAVIS PICKENS OD
5211 EASON ST
SOUTHPORT, NC 28461-6901
Phone number: 910-454-0563
Mailing Address
TRAVIS PICKENS OD
1729 NEW HANOVER MEDICAL PARK DR
WILMINGTON, NC 28403-5345
Phone number: 910-763-3601