Individual
DR. MICHAEL J SPICOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
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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