Allen H Bandy Jr
Organization Active NPI Optometrist · Newton, NC
NPI 1346313681 · NPPES record last updated Mar 4, 2008
Key facts
- NPI
- 1346313681
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 1220 (NC)
- Legal business name
- ALLEN H BANDY JR
- Practice address
- 21 S Main Ave
Newton, NC 28658-3318 - Phone
- (828) 464-0604
- Fax
- (828) 464-0982
- NPI assigned
- Nov 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Allen Hill Bandy Jr., OD
- Title
- Owner
- Phone
- (828) 464-0604
Practitioners 1
-
Allen Hill Bandy Jr., O.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 1220 | NC | Yes |
Addresses
Primary practice location
21 S Main Ave
Newton, NC 28658-3318
Mailing address
PO Box 25
21 South Main Ave.
Newton, NC 28658-0025
Phone (828) 464-0604
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8909091 | Medicaid | NC | |
| 09091 | Other | NC | NC BCBS |
| 09091 | Other | NC | NC HEALTHCHOICE |
Other names
- Lifetime Eyecare
Other providers in Newton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.