Individual
DR. WILLIAM ANTHONY BACIGALUPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 HWY 51 BYPASS, DYERSBURG, TN 38024
(731) 286-2744
(731) 285-3235
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD829
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1060656
CIGNA HEALTHCARE
—
05
—
3594813
—
TN
01
—
4105813
BLUE CROSS BLUE SHIELD
TN
01
—
6206
TLC MEMPHIS MANAGED CARE
—
Enumeration date
06/08/2006
Last updated
05/15/2024
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