Individual
CAROL MOSS BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1622 E MARION ST, SHELBY, NC 28150-4939
(704) 482-2020
(704) 482-7707
Mailing address
335 E PARKER RD, MORGANTON, NC 28655-5112
(828) 433-1000
(828) 433-6274
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1435
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09100
BLUE CROSS BLUE SHIELD NC
NC
05
—
8909100
—
NC
Enumeration date
07/31/2006
Last updated
03/17/2008
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