Individual
DR. JOHN MICHAEL ASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
7547 WATERSIDE LOOP RD, STE A, DENVER, NC 28037
(701) 822-9920
(704) 822-1764
Mailing address
7547 WATERSIDE LOOP RD, STE A, DENVER, NC 28037
(704) 822-9920
(704) 822-1764
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NC1850
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135UF
NC BLUE SHIELD
—
01
—
2120530
ALLIANCE PPO LLC
—
01
—
2335465
NCMEDICARE
—
01
—
805963
COMMUNITY EYE CARE
—
01
—
861063250
UNITED AMERICAN
—
01
—
861083250
ADVANCED BENEFIT
—
05
—
891356F
—
NC
01
—
89135UF
NC MEDICAID
—
Enumeration date
02/22/2006
Last updated
12/04/2019
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