Individual
ROY MAX RAYNOR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
113 W MAIN ST, BENSON, NC 27504-1343
(919) 894-7570
(919) 894-4674
Mailing address
113 W MAIN ST, BENSON, NC 27504-1343
(919) 894-7570
(919) 894-4674
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1198
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02478
SPECTERA
NC
01
—
09761
BCBS
NC
Enumeration date
05/04/2006
Last updated
10/12/2020
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