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Individual

DR. CRAIG MICHAEL POOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
176 FOUR SEASONS MALL, HENDERSONVILLE, NC 28792-2878
(828) 698-3423
(838) 693-4686
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780

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
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