Broad Street Vision Center is a Eyewear Supplier (equipment, Not The Service) Store in Gastonia, North Carolina. This organization is also known as sub part of Fred S Cloninger Od. It is situated at 406 S Broad St, Suite A, Gastonia and its contact number is 704-865-3731. The authorized person of Broad Street Vision Center is Fred S Cloninger
who is Owner of the store and their contact number is 704-186-53731. Primary license number for Broad Street Vision Center is 0804 in North Carolina. Broad Street Vision Center is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Complete Center Profile:
Broad Street Vision Center Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the eye care center or can call on the below given phone number for appointment.
Specialization:
Eyewear Supplier (equipment, Not The Service)
Address:
406 S Broad St, Suite A, Gastonia, North Carolina, 28054-4304
Phone:
704-865-3731
Fax:
704-864-5736
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Fred S Cloninger
Position:
Owner
Contact Number:
704-186-53731
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Broad Street Vision Center center are as mentioned below.
NPI Number:
1235539099
Parent Organization:
Fred S Cloninger Od
NPI Enumeration Date:
29 Aug, 2014
NPI Last Update On:
29 Aug, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Broad Street Vision Center are as mentioned below.
Specialization
License Number
State
Status
Eyewear Supplier (equipment, Not The Service)
0804
North Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
8909163
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Broad Street Vision Center 406 S Broad St, Suite A Gastonia, North Carolina
Zip:
28054-4304
Phone Number:
704-865-3731
Fax Number:
704-864-5736
Patients can reach Broad Street Vision Center at 406 S Broad St, Suite A, Gastonia, North Carolina or can call to book an appointment on 704-865-3731. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
Similar Centers in Gastonia, NC
Wal-mart Stores East, Lp. Speciality: Eyewear Supplier Address: 3000 E Franklin Blvd, Gastonia, NC Phone: 704-866-9599
Sears Optical #c1071 Speciality: Eyewear Supplier Address: 250 N New Hope Rd, Gastonia, NC Phone: 704-867-7422
Eyemart Express Llc Speciality: Eyewear Supplier Address: 3916 E Franklin Blvd Ste 160, Gastonia, NC Phone: 704-565-0750
National Vision, Inc. Speciality: Eyewear Supplier Address: 3000 E Franklin Blvd, Gastonia, NC Phone: 704-866-9599
Vision Center 30-5298 Speciality: Eyewear Supplier Address: 223 N Myrtle School Rd, Gastonia, NC Phone: 704-864-6776