Individual
DAVID M WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0993
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09964
BLUE CROSS
NC
05
—
8909964
—
NC
01
—
P00630210
RAILROAD MEDICARE
NC
Enumeration date
09/14/2005
Last updated
03/30/2022
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