York, Johnny

York, Johnny is an sole proprietor health care provider with primary practice located at 930 Hanes Mall Blvd , Winston Salem NC 27103. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Corneal and Contact Management is his primary health care specialty. York, Johnny can be contacted via phone (336) 760-1291.

Contact Information

Primary practice address
930 Hanes Mall Blvd Winston Salem NC 27103
Fax: (336) 760-1295
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 1096 North Carolina
Eye and Vision Services Providers / Optometrist 152W00000X 1096 North Carolina

Profile Details

NPI number 1184836306
LBN Legal business name York, Johnny
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2007
Last updated Mar 7th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184836306 NPPES
North Carolina Other 1096 STATE LICENSE NUMBER
North Carolina Other 0998G STATE LICENSE NUMBER

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