IndividualActive
George Owen, LDO, FNAO
NPI 1629328950 · Optician · Raleigh, NC
Provider details
- NPI number
- 1629328950
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LDO, FNAO
- Sex
- Male
- Sole proprietor
- Yes
- License
- NC 1860 (NC)
Practice location
4209 Lassiter Mill Rd
Suite 110
Raleigh, NC 27609-5794
Phone: (919) 783-5863
Fax: (919) 783-5864
Mailing address
4209 Lassiter Mill Rd
Raleigh, NC 27609-5794
Registry dates
- Enumerated
- 2012-09-13
- Last updated
- 2012-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.