Individual
DR. KEVIN DWAYNE BIGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
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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