person
Mr. Randy W. Godwin I, DISPENSINGOPTICIAN
Optician in Smithfield, North Carolina
NPI 1962876367

Randy W. Godwin I is a Optician based in Smithfield, NC and is specialized in Optician. Randy W. Godwin I practices in Smithfield, NC and has the professional credentials of DISPENSINGOPTICIAN. The NPI Number for Randy W. Godwin I is 1962876367 and holds a License No. 1508 (North Carolina).

The current practice location address for Randy W. Godwin I is 1233 N Brightleaf Blvd, Smithfield, NC and can be reached out via phone at 919-934-1272 and via fax at 919-934-1273.

Location: 1233 N Brightleaf Blvd, Smithfield, NC, 27577-4229
person
Provider Profile Details
NPI Number
1962876367
Provider Name
Randy W. Godwin I
Credential
DISPENSINGOPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
1233 N Brightleaf Blvd, Smithfield, NC, 27577-4229
Phone Number
919-934-1272
Fax Number
919-934-1273
Provider Enumeration Date
11/23/2015
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
47-5024935 05 NC
institution
Provider Business Practice Location Address Details
Address
1233 N Brightleaf Blvd
City
State
Zip
27577-4229
Phone Number
919-934-1272
Fax Number
919-934-1273
person
Provider Business Mailing Address Details
Address
1233 N Brightleaf Blvd
City
State
Zip
27577-4229
Phone Number
919-934-1272
Fax Number
919-934-1273
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
1508 (North Carolina)
Definition
Definition to come...
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