Individual
SANDRA SCHRADER-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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