Organization · Type 2 NPI
Myrtle Grove Optical, LLC
Eyewear Supplier · Wilmington, NC
NPI number
1972716645
Active
Practice location
1917 Tradd Ct
Wilmington, NC 28401-6638
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | 0735 (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 1972716645
Myrtle Grove Optical, LLC's National Provider Identifier is 1972716645, issued on May 8, 2007. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Wilmington, NC. The record was last updated on Aug 22, 2020.