Provider Demographics
NPI:1043200025
Name:CANTING, JEANNE HOWELL (OPTICIAN)
Entity Type:Individual
Prefix:MRS
First Name:JEANNE
Middle Name:HOWELL
Last Name:CANTING
Suffix:
Gender:F
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 WALMSLEY CT
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-5839
Mailing Address - Country:US
Mailing Address - Phone:919-387-6622
Mailing Address - Fax:
Practice Address - Street 1:3701 NW CARY PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-8431
Practice Address - Country:US
Practice Address - Phone:919-468-2636
Practice Address - Fax:919-468-6314
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1538156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC4066590001Medicare NSC