Provider Demographics
NPI:1720729973
Name:THORNTON, LINDSAY ELIZABETH (OD)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ELIZABETH
Last Name:THORNTON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5380 US HIGHWAY 158
Mailing Address - Street 2:
Mailing Address - City:ADVANCE
Mailing Address - State:NC
Mailing Address - Zip Code:27006-6973
Mailing Address - Country:US
Mailing Address - Phone:336-940-2015
Mailing Address - Fax:336-940-2069
Practice Address - Street 1:5380 US HIGHWAY 158
Practice Address - Street 2:
Practice Address - City:ADVANCE
Practice Address - State:NC
Practice Address - Zip Code:27006-6973
Practice Address - Country:US
Practice Address - Phone:336-940-2015
Practice Address - Fax:336-940-2069
Is Sole Proprietor?:No
Enumeration Date:2022-04-03
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2711152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist