Individual
DR. WILLARD N SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
450 JONES RD, ROCKY MOUNT, NC 27804-8207
(252) 443-1006
(252) 937-8366
Mailing address
450 JONES RD, ROCKY MOUNT, NC 27804-8207
(252) 443-1006
(252) 937-8366
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1091
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09825
BCBS
NC
05
—
8909825
—
NC
Enumeration date
03/29/2006
Last updated
10/11/2021
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