Individual
WILLIAM JAMES HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6311 CARMEL RD, CHARLOTTE, NC 28226-8246
(704) 542-2844
(704) 542-3386
Mailing address
6311 CARMEL RD, CHARLOTTE, NC 28226-8341
(704) 542-2844
(704) 542-3386
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1760
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093CE
BCBS ID NUMBER
NC
Enumeration date
07/07/2005
Last updated
05/20/2010
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