IndividualActive
Kelley Taylor, NCLDO
NPI 1164950903 · Optician · Mocksville, NC
Provider details
- NPI number
- 1164950903
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- NCLDO
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2087 (NC)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
66 Court Sq
Mocksville, NC 27028-2415
Phone: (336) 231-3135
Approximate (ZIP-level) locationGet directions
Mailing address
66 Court Sq
Mocksville, NC 27028-2415
Registry dates
- Enumerated
- 2017-05-24
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.