WALDO'S OPTICAL; NPI #1144607128

Contact Information

WALDO'S OPTICAL

2500 SPRING GARDEN ST.
SUITE C
GREENSBORO, NC 27403

Phone: 336-818-8733
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for WALDO'S OPTICAL

NPI Number 1144607128

LBN Legal business name WALDO'S OPTICAL

Authorized official HERBERT FORREST - (OPTICIAN/OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/29/2015

Last updated 04/29/2015 - About 11 years ago

Identifiers

License #

421

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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