Individual
DR. DANFORD E RAYNOR II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1464
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0853510001
PGBA
NC
01
—
0908E
BLUE CROSS BLUE SHIELD
NC
01
—
1037
OPTICARE
NC
01
—
410034018
RAILROAD MEDICARE
NC
01
—
77006
MEDCOST
NC
05
—
8909280
—
NC
01
—
FH7000055
FIRST HEALTH
NC
Enumeration date
12/14/2006
Last updated
03/17/2018
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