Fred S Cloninger OD
Fred S Cloninger OD is an Eyewear Supplier in Gastonia, North Carolina. Licensed in North Carolina. Registered with an NPI since 2014.
- Licensed in
- NC
- In the registry since
- 2014
Practice location Address checks out
406 S Broad St Ste AGastonia, NC 28054-4304
Phone: (704) 865-3731
Fax: (704) 864-5736
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Eyewear Supplier (primary) | Taxonomy 332H00000X · Licence 0804 (NC) |
|---|
Record details
| NPI number | 1235539099 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Fred S Cloninger OD |
| Authorized official | Fred Cloninger — Owner · 70418653731 |
| Other names | Broad Street Vision Center |
| NPI enumerated | August 29, 2014 |
| Last updated in NPPES | August 29, 2014 |
| Mailing address | 406 S Broad St, Suite A, Gastonia, NC 28054-4304 |
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