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Organization

C.V. SIKES,JR. & R.B. GOTSCHALK PTR

Active
Other names
Family Eye Care Optometry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT B. GOTSCHALK (PARTNER)
(919) 774-3556
Entity
Organization

Contact information

Practice address
1225 CARTHAGE ST, SANFORD, NC 27330-8984
(919) 774-3556
(919) 774-7356
Mailing address
1225 CARTHAGE ST, SANFORD, NC 27330-8984
(919) 774-3556
(919) 774-7356

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1190
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09036
BCBSNC GROUP NUMBER
NC
01
09322
BCBSNC R. GOTCHALK
NC
01
09713
BCBSNC L. SMITH
NC
01
09832
BCBSNC CHARLES SIKES, JR
NC
01
410014665
RR MEDICARE C. SIKES, JR.
NC
01
410014666
RR MEDICARE R.GOTSCHALK
NC
01
410024402
RR MEDICARE L.SMITH OD
NC
05
7909036
NC
05
7909832
NC
05
8909322
NC
05
8909713
NC
01
CF0172
RR MEDICARE PROVIDER #
NC
Enumeration date
01/23/2007
Last updated
06/17/2008
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