Individual
DR. MICHAEL J SPICOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
10305 HAMPTONS PARK DRIVE, SUITE 201, HUNTERSVILLE, NC 28078-7217
(704) 295-3600
(704) 892-3181
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 295-3468
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1514
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0926J
BCBS
NC
01
—
20096164
SELECT HEALTH OF SC
SC
01
—
2241972
UNITED HEALTHCARE
NC
01
—
23238
BCBS MEDPOINT
NC
01
—
299893
MAMSI
NC
01
—
36143
PARTNERS
NC
01
—
410044201
RAILROAD MEDICARE
—
01
—
87787
MEDCOST
NC
05
—
890926J
—
NC
01
—
9025680
CIGNA HEALTHCARE
NC
05
—
DN1514
—
SC
Enumeration date
05/12/2006
Last updated
04/26/2021
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