GEORGE GREGOR OWEN


Address: 4209 Lassiter Mill Rd, Suite 110, Raleigh, NC 27609-5794
Phone: 9197835863

GEORGE GREGOR OWEN (NPI# 1629328950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629328950
Entity Type Individual
Full Name GEORGE GREGOR OWEN
Credential LDO, FNAO
Practice Address 4209 Lassiter Mill Rd
Suite 110
Raleigh
NC 27609-5794
Practice Telephone 9197835863
Practice Fax Number 9197835864
Mailing Telephone 9197835863
Mailing Fax Number 9197835864
Enumeration Date 2012-09-13
Last Update Date 2012-09-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
NC 1860 NC Eye and Vision Services Providers

Office Location

Street Address 4209 LASSITER MILL RD
SUITE 110
City RALEIGH
State NC
Zip Code 27609-5794

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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1881167807 National Vision Inc Technician/Technologist 4434 Fayetteville Rd Ste 11, Raleigh, NC 27603-3612 2019-01-03
1467810580 Professional Opticians of Raleigh, Inc. Technician/Technologist 8821 Six Forks Rd, Raleigh, NC 27615-2970 2016-02-03
1427463777 America's Best Contacts & Eyeglasses Technician/Technologist 6451 Triangle Plantation Dr, Raleigh, NC 27616-5899 2014-06-25
1831437482 America's Best Contacts & Eyeglasses Technician/Technologist 6212 Glenwood Ave, Suite 101, Raleigh, NC 27612-2657 2013-01-16
1851683262 Rosanna Canario Technician/Technologist 5444 Daleview Dr, Raleigh, NC 27610-1591 2011-05-04
1619277365 Wal-mart Stores East Lp Technician/Technologist 8000 Town Drive, Raleigh, NC 27616 2010-10-28
1629287867 Leon Byrum Opticians Inc Technician/Technologist 600 A Wade Ave, Raleigh, NC 27605-3121 2007-05-22
1396883518 Doug Clifton Technician/Technologist 6325 Falls of Neuse Rd Ste 1, Raleigh, NC 27615-6809 2007-02-01
1952792491 20/20 Vision Express Technician/Technologist 5444 Daleview Dr, Raleigh, NC 27610-1591 2015-02-05
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Competitor

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City RALEIGH
Zip Code 27609

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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