Fred S Cloninger Od 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 Fred S Cloninger Od is Fred S Cloninger
who is Owner of the store and their contact number is 704-186-53731. Primary license number for Fred S Cloninger Od is 0804 in North Carolina.
Fred S Cloninger Od is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Complete Center Profile:
Fred S Cloninger Od 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 Fred S Cloninger Od 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 Fred S Cloninger Od 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: | Fred S Cloninger Od
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 Fred S Cloninger Od at
406 S Broad St, Suite A, Gastonia, North Carolina or can
call to book an appointment on 704-865-3731.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.