Organization
VALERIE A. COLBORN, O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VALERIE ANN COLBORN O.D. (PRESIDENT)
(910) 893-4141
Entity
Organization
Contact information
Practice address
1023 S. MAIN STREET, LILLINGTON, NC 27546-0096
(910) 893-4141
Mailing address
PO BOX 96, 1023 S. MAIN STREET, LILLINGTON, NC 27546-0096
(910) 893-4141
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0912P
BCBS
NC
05
—
890902N
—
NC
Enumeration date
04/11/2007
Last updated
10/16/2008
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