Individual
MS. CRYSTAL M BRIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
710 MILITARY CUTOFF ROAD, SUITE 130, WILMINGTON, NC 28405-2382
(910) 447-2020
(866) 984-3914
Mailing address
710 MILITARY CUTOFF ROAD, SUITE 130, WILMINGTON, NC 28405-2382
(910) 447-2020
(866) 984-3914
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NC1811
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014PA
BCBS PROVIDER ID
NC
01
—
2200298
UHC ID #
NC
05
—
89014TC
—
NC
05
—
89093KF
—
NC
01
—
B8413
MEDCOST PROVIDER #
NC
Enumeration date
10/18/2006
Last updated
05/12/2023
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