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Individual

DR. CHARLES VAN SIKES JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1225 CARTHAGE ST, SANFORD, NC 27330-8984
(919) 774-3556
(919) 774-7356
Mailing address
120 JOHNSON ST, BROADWAY, NC 27505-9503
(919) 258-9203

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0997
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0158090001
PALMETTO LILLINGTON
NC
01
09832
BCBS OF NC
NC
01
410000229
RAILROAD MDCR LILLINGTON
NC
01
410014665
RAILROAD MEDICARE SANFORD
NC
05
7909832
NC
05
8909827
NC
Enumeration date
05/04/2006
Last updated
11/25/2009
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