Individual
DR. PATRICIA P CHAMPION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
188 MEDICAL PARK DR STE C, BREVARD, NC 28712-4188
(828) 884-7320
Mailing address
188 MEDICAL PARK DR STE C, BREVARD, NC 28712-4188
(828) 884-7320
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1541
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10716
BLUE CROSS BLUE SHIELD
NC
01
—
114419
EYEMED
NC
01
—
1329153
CIGNA
NC
01
—
2271058
UNITED HEALTHCARE
NC
05
—
890911X
—
NC
01
—
NC01541
VISION BENEFITS OF AMERIC
NC
Enumeration date
06/21/2006
Last updated
11/05/2019
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