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Contact Information

BARRY L KAVANAUGH JR OD PA
1110 SEVEN LAKES DR
WEST END, NC27376
 Phone: 910-673-3937
 Fax: 910-673-3266
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BARRY L KAVANAUGH JR OD PA · (Female)

NPI # 1376713685
Status Active
Credentials
Entity Individual
Enumeration date 03/04/2008
Last updated 06/01/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # 1295
  • NC Medicaid 7909342
Hospital affiliation(s) Not Available
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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