Individual
DR. ALLEN F DOWNUM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O. D.
Contact information
Practice address
103 W EDEN ST, EDENTON, NC 27932-1843
(252) 482-3218
(252) 482-8444
Mailing address
PO BOX 809, EDENTON, NC 27932-0809
(252) 482-3218
(252) 482-8444
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NC0774
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09239
BLUE CROSS BLUE SHIELD
NC
05
—
8909239
—
NC
Enumeration date
07/26/2005
Last updated
07/08/2007
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