Individual
SANDRA SCHRADER-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
202 W CENTER ST, LEXINGTON, NC 27292-3012
(336) 248-2237
(336) 249-7223
Mailing address
202 W CENTER ST, LEXINGTON, NC 27292-3012
(336) 248-2237
(336) 249-7223
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1201
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0921N
BCBS
NC
01
—
2202170
UHC
NC
01
—
33497
PARTNERS
NC
01
—
7678536002
CIGNA
NC
05
—
8909656
—
NC
01
—
NC1201
EYEMED
NC
Enumeration date
05/24/2005
Last updated
07/08/2007
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