Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairmont Eye Clinic OD PLLC

Organization Optometrist · NPI 1871468413

Fairmont Eye Clinic OD PLLC is an Optometrist in Fairmont, North Carolina. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

204 Iona St
Fairmont, NC 28340-1616
Phone: (910) 628-8316
Fax: (910) 628-5642
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1871468413
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Johnson — Owner/ Optometrist · (910) 628-8316
NPI enumeratedOctober 6, 2025
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025
Mailing addressPo Box 648, Fairmont, NC 28340-0648

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