Individual
DR. KEVIN DWAYNE BIGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
14617 LAWYERS RD, SUITE A, MATTHEWS, NC 28104-3219
(704) 893-0090
(704) 893-0944
Mailing address
14617 LAWYERS RD, SUITE A, MATTHEWS, NC 28104-3219
(704) 893-0090
(704) 893-0944
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1746
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0925E
BLUE CROSS BLUE SHIELD NC
—
01
—
22.00365
UNITED HEALTHCARE
—
01
—
24119
AVESIS
—
01
—
68011
BEACHSTREET
—
01
—
803877
COMMUNITY EYE
—
05
—
890925E
—
NC
01
—
90703
MAMSI
—
01
—
B9267
MEDCOST PREFERRED
—
01
—
DD2824
RAILROAD MEDICARE
—
01
—
ND1746
VISION BENEFITS OF AMER
—
Enumeration date
07/05/2006
Last updated
08/08/2024
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