Barry L Kavanaugh Jr OD PA
Organization Active NPI Optometrist · West End, NC
NPI 1376713685 · NPPES record last updated Jun 1, 2016
Key facts
- NPI
- 1376713685
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 1295 (NC)
- Legal business name
- BARRY L KAVANAUGH JR OD PA
- Practice address
- 1110 Seven Lakes Dr
West End, NC 27376 - Phone
- (910) 673-3937
- Fax
- (910) 673-3266
- NPI assigned
- Mar 4, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Barry Laurence Kavanaugh Jr., OD
- Title
- Owner
- Phone
- (910) 673-3937
Practitioners 1
-
Barry L Kavanaugh Jr., OD PA
National Provider Directory
Interoperability endpoints
- drbarry@sevenlakeseyecare.eyeclinicdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 1295 | NC | Yes |
Addresses
Primary practice location
1110 Seven Lakes Dr
West End, NC 27376
Mailing address
PO Box 839
1110 Seven Lakes Dr
West End, NC 27376-0839
Phone (910) 673-3937
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7909342 | Medicaid | NC |
Other names
- Seven Lakes Eye Care
Other providers in West End, NC
- Allison Averitt
- Cydney Baldwin
- Kim Lee Barber
- Abigail Kennedy Barberousse
- Anjanette Barrick-Phillips
- Julie G Baugher
- Lynn T. Beattie
- Jenny Lynne Beck
- Lorrainne Alice Bilodeau I
- Alex Bonnecaze
All providers in West End, NC · Optometrist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2016. 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.