Individual
DR. CHARLES HAROLD ALDRIDGE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1015
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09016
BCBSNC
NC
01
—
561706081
TAX ID
NC
05
—
7909016
—
NC
Enumeration date
08/09/2005
Last updated
02/14/2011
Update your record
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