Provider Demographics
NPI:1386400851
Name:ROYAL, ZAMARIT
Entity type:Individual
Prefix:
First Name:ZAMARIT
Middle Name:
Last Name:ROYAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 WES KIM DR
Mailing Address - Street 2:
Mailing Address - City:WILKESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28697-7166
Mailing Address - Country:US
Mailing Address - Phone:336-566-7611
Mailing Address - Fax:
Practice Address - Street 1:1801 US HIGHWAY 421
Practice Address - Street 2:
Practice Address - City:WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28697-2279
Practice Address - Country:US
Practice Address - Phone:336-667-3270
Practice Address - Fax:336-667-4497
Is Sole Proprietor?:No
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician