Individual
DR. JEFFREY SCOTT WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
476 SHOTWELL RD STE 104, CLAYTON, NC 27520-3506
(919) 553-8181
(919) 359-1504
Mailing address
476 SHOTWELL RD STE 104, CLAYTON, NC 27520-3506
(919) 553-8181
(919) 359-1504
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1972
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093RV
BCBSNC PIN
NC
01
—
2473507D
MEDICARE PROVIDER NUMBER
NC
05
—
89093RV
—
NC
Enumeration date
05/18/2006
Last updated
12/02/2016
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