Individual
DR. BONNIE E. AIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2120 STATESVILLE BLVD, EYECARE CENTER, SALISBURY, NC 28147-1410
(704) 636-0559
(704) 636-6627
Mailing address
2120 STATESVILLE BLVD., EYECARE CENTER, SALISBURY, NC 28147
(704) 636-0559
(704) 636-6627
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1433
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0912X
BCBS OF NC
NC
01
—
0944842
OPICARE
NC
01
—
2468501C
MEDICARE ID
NC
01
—
2472021
SECOND PTAN
NC
01
—
296143
MAMSI
NC
01
—
410046981
RAILROAD MEDICARE
NC
05
—
890904K
—
NC
Enumeration date
04/12/2006
Last updated
06/28/2012
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