Individual
NICOLE LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1994 S 17TH ST, WILMINGTON, NC 28401-6627
(910) 254-9292
(910) 254-9294
Mailing address
1994 S 17TH ST, WILMINGTON, NC 28401-6627
(910) 254-9292
(910) 254-9294
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2177
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0930G
BCBS OF NC
NC
05
—
5912915
—
NC
Enumeration date
09/24/2009
Last updated
05/20/2013
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