Individual
ALVAH C CAYTON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2807 N MAIN ST, TARBORO, NC 27886-1903
(252) 823-8295
(252) 823-8552
Mailing address
PO BOX 1299, TARBORO, NC 27886-1299
(252) 823-8295
(252) 823-8552
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2109
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093YJ
BLUE CROSS BLUE SHIELD
NC
05
—
5910531
—
NC
01
—
P00778488
RAILROAD MEDICARE
NC
Enumeration date
09/03/2008
Last updated
12/03/2020
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