Individual
DR. CARLYLE DUKES HAYWOOD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
326 ALBEMARLE RD, TROY, NC 27371-3206
(910) 576-7371
(910) 576-7372
Mailing address
326 ALBEMARLE RD, TROY, NC 27371-3206
(910) 576-7371
(910) 576-7372
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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