Individual
DR. CARLYLE DUKES HAYWOOD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1566
NC
152W00000X
Optometrist
OE007726P
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0925K
BCBS
NC
01
—
2471739
MEDICARE PTAN
NC
01
—
410043489
RR MEDICARE
NC
05
—
890925K
—
NC
Enumeration date
11/30/2005
Last updated
11/23/2016
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