Individual
DR. DIANNA POPA JICHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3911 FOUNTAIN GROVE DR, SUITE 101, HIGH POINT, NC 27265-8032
(336) 889-2225
(336) 889-2252
Mailing address
2607 BURCH POINT, HIGH POINT, NC 27265-9333
(336) 869-3432
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1354
NC
152W00000X
Optometrist
3886
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015MC
BCBS
—
01
—
0916E
BCBS
—
01
—
1354
NC LICENSE
—
05
—
2337476
—
NC
05
—
890914N
—
NC
Enumeration date
11/30/2005
Last updated
05/04/2011
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