Individual
KEVIN GERALD PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1372
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09704
BCBS NC
NC
01
—
2280102
UNITED HEALTHCARE
NC
01
—
410029823
RAILROAD MEDICARE
—
01
—
70258
MEDCOST
—
05
—
8909704
—
NC
01
—
PALMETTO
0312480001
—
Enumeration date
05/17/2006
Last updated
10/12/2012
Update your record
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