Individual
DR. CRAIG MICHAEL POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1246
SC
152W00000X
Optometrist
Primary
1897
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093M4
BCBS
NC
01
—
5727710001
DME
NC
05
—
89093M4
—
NC
01
—
P00352107
RAILROAD MEDICARE PIN
NC
Enumeration date
05/11/2006
Last updated
02/13/2023
Update your record
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