Individual
DR. SUSHMITA DE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
205A HILLSTONE PL, JAMESTOWN, NC 27282-2000
(336) 454-5151
(336) 841-2062
Mailing address
PO BOX 1288, JAMESTOWN, NC 27282-1288
(336) 454-5151
(336) 454-5318
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1254
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0901G
BCBS
—
01
—
2200711
UHC
—
05
—
890901G
—
NC
Enumeration date
08/10/2006
Last updated
10/02/2019
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