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Individual

LYNDA JEAN SHEPARD-MARZIALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1558
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0917P
BLUE CROSS BLUE SHIELD NC
01
115086
DAVIS VISION
01
15667
SPECTERA VISION
01
2200131
UNITED HEALTHCARE
01
25353
SUPERIOR VISION
01
37485
VISION SERVICE PLAN
01
6952803
CIGNA
05
890917P
NC
Enumeration date
06/29/2006
Last updated
08/03/2025
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