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Individual

CANDICE CAIN FIX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
141 SPRUCE PINE WAY STE C, KING, NC 27021-8445
(336) 296-0012
(336) 217-8833
Mailing address
PO BOX 2349, KING, NC 27021-2349
(336) 296-0012
(336) 217-8833

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2057
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02G7H
MEC BCBS PROV #
NC
01
2474441
KING MEDICARE PROV #
NC
01
9511065
MEC AETNA PROV#
NC
01
NC2057
MEC EYEMED PROV #
NC
01
P00828722
RAILROAD MEDICARE
NC
01
P02558233
MEC RR MCARE PTAN
NC
Enumeration date
09/10/2007
Last updated
10/20/2022
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