Individual
KEVIN GERALD PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2402 MONTGOMERY DR, WILSON EYE ASSOCIATES, WILSON, NC 27893-4421
(252) 243-2020
(252) 291-2020
Mailing address
2402 MONTGOMERY DR, WILSON, NC 27893-4421
(252) 243-2020
(252) 291-2020
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
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