Individual
DR. ANGELA MARIE FOX-PUTNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1387
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0928G
BLUE CROSS BLUE SHIELD
NC
01
—
12304
SPECTERA
NC
01
—
4622
DAVIS VISION
NC
05
—
890928G
—
NC
01
—
OP069
EYEMED
NC
Enumeration date
01/18/2006
Last updated
10/16/2024
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