Individual
DR. ELIZABETH ANNE WINDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5070 FAYETTEVILLE RD, LUMBERTON, NC 28358-2108
(910) 608-2030
Mailing address
554 KENSINGTON ST, LUMBERTON, NC 28358-2629
(910) 738-7998
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1633
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0903M
BLUE CROSS BLUE SHIELD NC
NC
05
—
890903M
—
NC
Enumeration date
11/24/2006
Last updated
07/08/2007
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