Individual
SANDRA LOVE SWARINGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1062
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09882
BLUE CROSS BLUE SHIELD
NC
05
—
8909882
—
NC
01
—
Y1388
SERVICES FOR THE BLIND
NC
Enumeration date
09/15/2006
Last updated
07/08/2007
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