Organization · Type 2 NPI

Fred S Cloninger Od

Eyewear Supplier · Gastonia, NC

NPI number 1235539099 Active

Practice location

406 S Broad St, Suite A
Gastonia, NC 28054-4304

Call (704) 865-3731 Map

Fax (704) 864-5736

Specialties and licenses

TaxonomyCodeLicense
Eyewear Supplier Primary 332H00000X0804 (NC)

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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About NPI 1235539099

Fred S Cloninger Od's National Provider Identifier is 1235539099, issued on Aug 29, 2014. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Gastonia, NC. The record was last updated on Aug 29, 2014.