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Organization

CHARLES V. SIKES JR

Active
Other names
Family Eye Care Optometry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES V. SIKES JR. O.D. (OWNER)
(910) 893-5711
Entity
Organization

Contact information

Practice address
210 W IVEY ST, LILLINGTON, NC 27546
(910) 893-5711
(910) 893-4805
Mailing address
PO BOX 430, LILLINGTON, NC 27546
(910) 893-5711
(910) 893-4805

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0997
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0157X
BCBSNC GROUP NUMBER
NC
01
09713
BCBSNC L. SMITH
NC
01
09832
BCBSNC C. SIKES, JR.
NC
01
410000229
RR MEDICARE #
NC
05
890157X
NC
05
8909713
NC
05
8909827
NC
Enumeration date
01/23/2007
Last updated
06/26/2008
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