Individual
MR. DEXTER WAYNE STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
913 WORTH ST, MOUNT AIRY, NC 27030-4459
(336) 786-8828
(336) 786-5977
Mailing address
913 WORTH ST, MOUNT AIRY, NC 27030-4459
(336) 786-8828
(336) 786-5977
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1375
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09878
BLUE CROSS BLUE SHIELD
NC
01
—
2208005
UNITED HEALTHCARE
NC
01
—
410038739
RAILROAD MEDICARE
NC
01
—
431657
ANTHEM
VA
05
—
7909878
—
NC
Enumeration date
04/04/2006
Last updated
11/30/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us