Aycock, John David
Aycock, John David is an individual health care provider with primary practice located at 808 Circle Dr , Monroe NC 28112-3800. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Aycock, John David can be contacted via phone (704) 283-2179.Contact Information
Primary practice address
808 Circle Dr
Monroe NC 28112-3800
Phone: (704) 283-2179
Fax: (704) 283-8314
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1534 | North Carolina |
Profile Details
| NPI number | 1275520942 |
|---|---|
| LBN Legal business name | Aycock, John David |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2005 |
| Last updated | Mar 8th, 2022 - about 2 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 | 1275520942 | NPPES |
| North Carolina | MEDICAID | 890901A |
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