Individual
DR. WILLIAM C ELMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1657 OWEN DR, FAYETTEVILLE, NC 28304-3425
(910) 323-2100
(910) 323-2165
Mailing address
1657 OWEN DR, FAYETTEVILLE, NC 28304-3425
(910) 323-2100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1082
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09089
BLUE CROSS
—
05
—
8909089
—
NC
Enumeration date
09/06/2005
Last updated
01/12/2010
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