Individual
ROBERT B. TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
826 C STREET, NORTH WILKESBORO, NC 28659
(336) 838-2281
(336) 667-3761
Mailing address
PO BOX 878, NORTH WILKESBORO, NC 28659-0878
(336) 838-2281
(336) 667-3761
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0930
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09898
BLUE CROSS BLUE SHIELD
NC
05
—
8909898
—
NC
Enumeration date
06/07/2006
Last updated
12/06/2011
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