Individual
DR. JODY DALE PAPAZEKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1670
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001971501
UNITED HEALTHCARE ID
NC
01
—
0917M
BCBS PROVIDER NUMBER
NC
01
—
119986000
DMERC PROVIDER NUMBER
NC
05
—
890917M
—
NC
01
—
Y-1947
DIV SERV FOR THE BLIND ID
NC
Enumeration date
09/20/2006
Last updated
09/23/2022
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