National Provider Identifier Database

BARRY L KAVANAUGH JR OD PA
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


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
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for BARRY L KAVANAUGH JR OD PA

NPI Number 1376713685
Legal business name
LBN
BARRY L KAVANAUGH JR OD PA
Authorized official BARRY KAVANAUGH - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/04/2008
Last updated 06/01/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: 1295
  • NC Medicaid: 7909342

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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