Individual
DR. CHARLES HAROLD ALDRIDGE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
419 E MAIN ST, BURNSVILLE, NC 28714-3050
(828) 682-2104
(828) 682-4217
Mailing address
419 E MAIN ST, PO BOX 218, BURNSVILLE, NC 28714-3050
(828) 682-2104
(828) 682-4217
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
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