Individual
DR. DAVID R BRASWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
819 TIFFANY BLVD, ROCKY MOUNT, NC 27804-1812
(252) 972-2020
(252) 977-7241
Mailing address
819 TIFFANY BLVD, ROCKY MOUNT, NC 27804-1812
(252) 972-2020
(252) 977-7241
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1410
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0913B
BCBSNC PROVIDER ID
NC
05
—
890913B
—
NC
Enumeration date
06/14/2006
Last updated
11/28/2007
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