Individual
DR. JEFFREY RICHARD SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1300
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09826
BCBSNC
NC
01
—
1780805804
GROUP NPI #
NC
05
—
8909826
—
NC
Enumeration date
09/12/2007
Last updated
08/12/2013
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