Individual
ANGELA EVERETT MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
315A WESTERN BOULEVARD, JACKSONVILLE, NC 28546-6338
(910) 353-1011
(910) 353-4433
Mailing address
315A WESTERN BLVD, JACKSONVILLE, NC 28546-6338
(910) 353-1011
(910) 353-4433
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2031
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093WA
BCBSNC
NC
05
—
5905963
—
NC
Enumeration date
09/12/2006
Last updated
02/24/2022
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