Individual
DEBRA C WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4830 MAIN ST, SHALLOTTE, NC 28470-1912
(910) 754-2020
(910) 754-8811
Mailing address
P O BOX 867, SHALLOTTE, NC 28459-0867
(910) 754-2020
(910) 754-8811
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1678
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0916P
BLUE CROSS BLUE SHIELD OF NC
NC
01
—
1164539763
RAILROAD MEDICARE
NC
05
—
890916P
—
NC
Enumeration date
08/23/2006
Last updated
01/29/2009
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