Individual
DR. RICHARD SHAFFER DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
161 WESTWOOD SHOPPING CTR, FAYETTEVILLE, NC 28314-1521
(910) 864-6070
(910) 864-4036
Mailing address
161 WESTWOOD SHOPPING CTR, FAYETTEVILLE, NC 28314-1521
(910) 864-6070
(910) 864-4036
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1115
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09220
BLUE CROSS BLUE SHIELD
NC
05
—
8909220
—
NC
Enumeration date
03/30/2006
Last updated
04/03/2008
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