Individual
DR. ROBERT BLUNT GOTSCHALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1225 CARTHAGE ST, SANFORD, NC 27330-8984
(919) 774-3556
(919) 774-7356
Mailing address
2624 BUCKINGHAM DR, SANFORD, NC 27330-9372
(919) 774-1070
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1190
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09322
BCBS OF NC
NC
01
—
410014666
RAILROAD MEDICARE
NC
05
—
8909322
—
NC
Enumeration date
05/04/2006
Last updated
07/22/2008
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