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DR. CARRIE WEAVER O.D.

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1013052596

Individual Registrant:
DR. CARRIE  WEAVER O.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2741 OLD HOLLOW RD  WALKERTOWN, NC 27051-9529 US
Tel: 336-595-4588  Fax: 336-595-6277

Contact information for business:
2630 PETERS CREEK PKWY  WINSTON SALEM, NC 27127-5655 US
Tel: 336-785-3486  Fax: 336-785-3002

Registration Information:
NPI: 1013052596
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
NC1593

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUECROSS0996BNC01
U58768NC02
890996BNC05
2469803NC04




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