Individual
DR. KIMBERLY LEWIS ONCAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2805 VILLAGE WAY, TRENT WOODS, NC 28562-7351
(252) 633-0016
(252) 636-3895
Mailing address
2805 VILLAGE WAY, TRENT WOODS, NC 28562-7351
(252) 633-0016
(252) 636-3895
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2135
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155FN
BCBS
NC
05
—
5913676
—
NC
Enumeration date
02/16/2009
Last updated
08/04/2015
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