Individual
DAVID ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1077
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09025
BCBS
NC
01
—
2251777
UNITED HEALTHCARE
NC
01
—
410022128
RAILROAD MEDICARE
NC
01
—
66234
MEDCOST
NC
05
—
8909025
—
NC
Enumeration date
01/23/2006
Last updated
08/07/2012
Update your record
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