Individual
CADMUS COLLINS RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4102 N ROXBORO ST, DURHAM, NC 27704-2122
(919) 595-2000
(919) 595-2190
Mailing address
4102 N ROXBORO RD, DURHAM, NC 27704
(919) 595-2000
(919) 595-2190
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9601453
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0856311
UNITED HEALTHCARE
NC
01
—
1028T
BCBS NC
NC
01
—
23356
OPTICARE
NC
01
—
483533
MAMSI
NC
01
—
5556464
AETNA
NC
01
—
5612887670
CIGNA
NC
05
—
891028T
—
NC
01
—
98509
MEDCOST
NC
Enumeration date
08/03/2005
Last updated
10/12/2007
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