Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 2133 | NC |
N | 152W00000X | Optometrist | OEG002069 | PA |
NPI | 1003079625 |
---|---|
Provider Name | John T Krempecki |
First Address | Franklin, NC 28734-0719 |
Second Address | Franklin, NC 28734-0719 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2008 |
Last Update Date | 21/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003079625 | (05) | NC |