Individual
DR. ALLISON W BLOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3901 OLEANDER DR, WILMINGTON, NC 28403-6712
(910) 395-2772
(910) 799-9170
Mailing address
3901 OLEANDER DR, WILMINGTON, NC 28403-6712
(910) 395-2772
(910) 799-9170
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1629
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0908T
BLUE CROSS BLUE SHIELD NC PTAN
NC
Enumeration date
06/04/2006
Last updated
05/04/2009
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