IndividualActive
Amanda Regis, LDO
NPI 1093565954 · Optician · Kannapolis, NC
Provider details
- NPI number
- 1093565954
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LDO
- Sex
- Female
- Sole proprietor
- No
- License
- 1639 (NC)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
338 Oak Avenue Mall Dr
Kannapolis, NC 28081-4340
Phone: (980) 384-5412
Approximate (ZIP-level) locationGet directions
Mailing address
252 Oak Avenue
Kannapolis, NC 28081
Registry dates
- Enumerated
- 2024-03-25
- Last updated
- 2024-03-25
- Certified
- 2024-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.