ACTIVE LIFE EYE CARE, OD, PA

MADISON, NC
NPI1740663855
Entity TypeOrganization
Authorized ContactBRENT B. JOHNSON
O PT Ometrist
336-404-6235
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
Enumeration Date2015-07-07
Last Update Date2016-01-11
Business Address
ACTIVE LIFE EYE CARE, OD, PA
415 W ACADEMY ST
MADISON, NC 27025-2005
Phone number: 336-404-6235
Mailing Address
ACTIVE LIFE EYE CARE, OD, PA
415 W ACADEMY ST
MADISON, NC 27025-2005
Phone number: 336-404-6235
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