Individual
DAVID M WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
11088 N US HIGHWAY 15 501, ABERDEEN, NC 28315-2385
(910) 693-1226
(910) 692-8983
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
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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