Provider Demographics
NPI:1467484436
Name:TOWNSEND, RHONDA J (OPTICIAN)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:J
Last Name:TOWNSEND
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 1:3536 HENDERSONVILLE HWY
Mailing Address - Street 2:
Mailing Address - City:PISGAH FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:28768
Mailing Address - Country:US
Mailing Address - Phone:828-884-8485
Mailing Address - Fax:828-884-8482
Practice Address - Street 1:3536 HENDERSONVILLE HWY
Practice Address - Street 2:
Practice Address - City:PISGAH FOREST
Practice Address - State:NC
Practice Address - Zip Code:28768
Practice Address - Country:US
Practice Address - Phone:828-884-8485
Practice Address - Fax:828-884-8482
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1276156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC011HEOtherNC HEALTH CHOICE
NC8802032Medicaid
3898710001Medicare ID - Type Unspecified