Individual
DR. CARL DAVID BOLLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6301 STADIUM DR, B, CLEMMONS, NC 27012-8766
(336) 766-7373
(336) 766-7382
Mailing address
PO BOX 127, CLEMMONS, NC 27012-0127
(336) 766-7373
(336) 766-7382
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1020
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09114
BLUE CROSS BLUE SHIELD
NC
01
—
0952390001
PALMETTO
NC
01
—
13283
SPECTERA
NC
01
—
561282758
AETNA
NC
01
—
917812
EYEMED VISION CARE
NC
Enumeration date
01/15/2007
Last updated
06/06/2023
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