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Individual

JAMES W SHAVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
301 S MAIN ST, LANDIS, NC 28088
(704) 857-2238
(704) 857-2239
Mailing address
PO BOX 8147, LANDIS, NC 28088-8147
(704) 857-2238
(704) 857-2239

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1320
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09837
BCBS OF NC
NC
05
8909837
NC
Enumeration date
07/08/2005
Last updated
05/29/2008
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