Individual
DR. HAROLD A CHAMPION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1541
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10717
BLUE CROSS BLUE SHIELD
NC
01
—
114419
EYEMED
NC
01
—
1248120001
P TAN
NC
01
—
2271057
UNITED HEALTHCARE
NC
01
—
2469371E
MEDICARE ID
NC
01
—
7824373
CIGNA
NC
05
—
890910X
—
NC
01
—
NC01540
VISION BENEFITS OF AMERIC
NC
Enumeration date
06/18/2006
Last updated
11/09/2012
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