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Gary Lee Vaughn, OPTICIAN
NPI 1023290046

Gary Lee Vaughn is a Optician based in Indian Trail, NC and is specialized in Optician. Gary Lee Vaughn practices in Indian Trail, NC and has the professional credentials of OPTICIAN. The NPI Number for Gary Lee Vaughn is 1023290046 and holds a License No. 941 (North Carolina).

The current practice location address for Gary Lee Vaughn is 622 Indian Trail Rd, Indian Trail, NC and can be reached out via phone at 704-821-6700 and via fax at 704-821-8534. You can also correspond with Gary Lee Vaughn through the mailing address at 622 INDIAN TRAIL RD, INDIAN TRAIL, NC - 28079 (mailing address contact number: 704-821-6700).

Location: 622 Indian Trail Rd, Indian Trail, NC, 28079
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Provider Profile Details
NPI Number
1023290046
Provider Name
Gary Lee Vaughn
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
622 Indian Trail Rd, Indian Trail, NC, 28079
Phone Number
704-821-6700
Fax Number
704-821-8534
Provider Enumeration Date
11/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8802087 05 NC
institution
Provider Business Practice Location Address Details
Address
622 Indian Trail Rd
City
State
Zip
28079
Phone Number
704-821-6700
Fax Number
704-821-8534
person
Provider Business Mailing Address Details
Address
622 Indian Trail Rd
City
State
Zip
28079
Phone Number
704-821-6700
Fax Number
704-821-8534
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
941 (North Carolina)
Definition
Definition to come...
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