Individual
DR. JULIE ANN BELANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2078
NC
152WC0802X
Corneal and Contact Management Optometrist
2078
NC
152WP0200X
Pediatric Optometrist
2078
NC
152WV0400X
Vision Therapy Optometrist
2078
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NC1929A314
MEDICARE PTAN
NC
Enumeration date
01/04/2006
Last updated
10/11/2019
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