Individual
KRISTIN NICOLE RICHWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8316 MEDICAL PLAZA DR STE E, CHARLOTTE, NC 28262-6704
(704) 547-1551
Mailing address
8316 MEDICAL PLAZA DR STE E, CHARLOTTE, NC 28262-6704
(704) 547-1551
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1774
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093KT
BCBS
NC
05
—
89093KT
—
NC
Enumeration date
03/27/2006
Last updated
02/06/2008
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