Individual
DR. MEREDITH BRYNE LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
640 SUMMIT CROSSING PL, SUITE 202, GASTONIA, NC 28054-2138
(704) 865-3937
Mailing address
640 SUMMIT CROSSING PL, SUITE 202, GASTONIA, NC 28054-2138
(704) 865-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2152
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157P0
BLUE CROSS BLUE SHIELD
NC
05
—
5915268
—
NC
Enumeration date
10/08/2009
Last updated
12/18/2012
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