Individual
DR. JAMES LOUIS FANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTOMETRIST
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1188
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09273
BCBS
NC
01
—
2228835
UNITED HEALTHCARE
NC
01
—
562238345
VSP
NC
05
—
7909273
—
NC
01
—
P00004683
RR MEDICARE
NC
Enumeration date
02/23/2007
Last updated
02/03/2011
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