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Individual

BLAIR STONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1001 WIDE WATERS PKWY, KNIGHTDALE, NC 27545-7333
(919) 861-2020
(919) 277-0854
Mailing address
7020 SIX FORKS RD, RALEIGH, NC 27615-6430
(919) 847-0187
(919) 863-2862

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2020
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
093U7
BLUECROSS
NC
05
5904664
NC
Enumeration date
07/12/2006
Last updated
02/15/2010
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