Individual
DR. THOMAS ALLEN MEBANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
444 JACKSON ST, ROANOKE RAPIDS, NC 27870-1910
(252) 537-3401
(252) 537-8872
Mailing address
444 JACKSON ST, ROANOKE RAPIDS, NC 27870-1910
(252) 537-3401
(252) 537-8872
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NC1263
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0849860001
PALMETTO
—
01
—
09574
BCBS
NC
05
—
7909574
—
NC
Enumeration date
12/08/2005
Last updated
05/31/2011
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