Individual
DR. JEFFREY SCOTT WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
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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