Mitchell, Freddie Lamont
Mitchell, Freddie Lamont is an individual health care provider with primary practice located at 515 N Spence Ave , Goldsboro NC 27534-4261. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mitchell, Freddie Lamont can be contacted via phone (919) 778-7110.Contact Information
Primary practice address
515 N Spence Ave
Goldsboro NC 27534-4261
Phone: (919) 778-7110
Fax: (919) 778-6057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 926 | North Carolina |
Profile Details
| NPI number | 1932103553 |
|---|---|
| LBN Legal business name | Mitchell, Freddie Lamont |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Aug 16th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932103553 | NPPES |
| North Carolina | MEDICAID | 7909625 | |
| North Carolina | Other | 09625 | |
| North Carolina | Other | DA 3706 |
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