Sid

NPI #1730340860 in Pilot Mountain, North Carolina

Provider Information

NPI Number: 1730340860
Entity Type: Organization
Organization Name: Sid
Primary Specialty: Eyewear Supplier
Enumeration Date: Jun 20, 2008
Last Updated: Jun 20, 2008

Practice Location

Address: 118 GOLF COURSE RD
City: Pilot Mountain
State: North Carolina
ZIP Code: 27041-8410
Phone: (336) 368-4727

Authorized Official

Name: DR. SID SPENCER
Title: OD
Phone: (336) 368-4727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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