National Provider Identifier Database

GARY L VAUGHN, OPTICIAN – NPI #1023290046
Optician


Contact Information

GARY L VAUGHN, OPTICIAN
622 INDIAN TRAIL RD
INDIAN TRAIL, NC28079
Phone: 704-821-6700
Fax: 704-821-8534
Website:
Specialty Taxonomy Code
* Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for GARY L VAUGHN

NPI Number 1023290046
Credentials OPTICIAN
Entity Individual
Enumeration date 11/30/2007
Last updated 11/30/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • NC License #: 941
  • NC Medicaid: 8802087
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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