Individual
LYNDA JEAN SHEPARD-MARZIALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
570 PAMLICO PLZ, WASHINGTON, NC 27889-3337
(252) 329-7025
(252) 948-0309
Mailing address
100 PROVIDENCE PLACE, CHOCOWINITY, NC 27817
(828) 384-0377
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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