IndividualActive
Gary Vaughn, OPTICIAN
NPI 1023290046 · Optician · Indian Trail, NC
Provider details
- NPI number
- 1023290046
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- OPTICIAN
- Sex
- Male
- Sole proprietor
- No
- License
- 941 (NC)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
622 Indian Trail Rd
Indian Trail, NC 28079
Phone: (704) 821-6700
Fax: (704) 821-8534
Approximate (ZIP-level) locationGet directions
Mailing address
622 Indian Trail Rd
Indian Trail, NC 28079
Registry dates
- Enumerated
- 2007-11-30
- Last updated
- 2007-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.