Provider Demographics
NPI:1497949887
Name:DRS. LOFLIN AND BYRNES
Entity Type:Organization
Organization Name:DRS. LOFLIN AND BYRNES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:BYRNES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:336-272-5252
Mailing Address - Street 1:338 N ELM ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-2177
Mailing Address - Country:US
Mailing Address - Phone:336-272-5252
Mailing Address - Fax:336-272-0939
Practice Address - Street 1:338 N ELM ST
Practice Address - Street 2:SUITE 101
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-2177
Practice Address - Country:US
Practice Address - Phone:336-272-5252
Practice Address - Fax:336-272-0939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0911152W00000X, 156FX1800X, 332B00000X, 332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8909537Medicaid
NC8909128Medicaid
NC0165310001Medicare NSC