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Individual

LEANDER SHEPARD HAMRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
422 W WARREN ST, SHELBY, NC 28150-5330
(704) 482-1234
(704) 482-3777
Mailing address
422 W WARREN ST, SHELBY, NC 28150-5330
(704) 482-1234
(704) 482-3777

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1075
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09354
BCBS
NC
01
25508
AVESIS
NC
01
561339734
TAX ID #
NC
05
8909354
NC
Enumeration date
12/13/2005
Last updated
11/29/2012
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