Vaughn, Gary Lee
Vaughn, Gary Lee is an individual health care provider with primary practice located at 622 Indian Trail Rd , Indian Trail NC 28079. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Vaughn, Gary Lee can be contacted via phone (704) 821-6700.Contact Information
Primary practice address
622 Indian Trail Rd
Indian Trail NC 28079
Phone: (704) 821-6700
Fax: (704) 821-8534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 941 | North Carolina |
Profile Details
| NPI number | 1023290046 |
|---|---|
| LBN Legal business name | Vaughn, Gary Lee |
| Credentials | OPTICIAN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2007 |
| Last updated | Nov 30th, 2007 - about 17 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 | 1023290046 | NPPES |
| North Carolina | MEDICAID | 8802087 |
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