person
Mr. Mark Lee Hathaway, OPTICIAN
NPI 1659577021

Mark Lee Hathaway is a Optician based in Fayetteville, NC and is specialized in Optician. Mark Lee Hathaway practices in Fayetteville, NC and has the professional credentials of OPTICIAN. The NPI Number for Mark Lee Hathaway is 1659577021 and holds a License No. 335 (North Carolina).

The current practice location address for Mark Lee Hathaway is 1800 Skibo Rd, Fayetteville, NC and can be reached out via phone at 910-487-1863.

Location: 1800 Skibo Rd, Fayetteville, NC, 28303
person
Provider Profile Details
NPI Number
1659577021
Provider Name
Mark Lee Hathaway
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
1800 Skibo Rd, Fayetteville, NC, 28303
Phone Number
910-487-1863
Fax Number
Provider Enumeration Date
06/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1800 Skibo Rd
City
State
Zip
28303
Phone Number
910-487-1863
Fax Number
person
Provider Business Mailing Address Details
Address
1800 Skibo Rd
City
State
Zip
28303
Phone Number
910-487-1863
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
335 (North Carolina)
Definition
Definition to come...
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