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NPI Code Detail

MEDICARE: DR. AMBER WIGGINS OD

MEDICARE: DR. AMBER WIGGINS OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristTA2943MD
2152W00000XOptometrist2835NC
3152W00000XOptometristOPC6393FL
4152W00000XOptometrist2862AR
5152W00000XOptometrist0618003357VA
6152W00000XOptometrist2420SC
7152W00000XOptometristOP1100729AR

General Provider Information

NPI Number : 1104551746
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMBER WIGGINS OD
Provider Business Mailing Address
First Line : 8000 TOWN DR
Second Line :
City : RALEIGH
State : NC
Zip : 27616-2828
Country : US
Telephone Number : 919-948-3082
Fax Number : 919-869-2235
Provider Business Practice Location Address
First Line : 8000 TOWN DR
Second Line :
City : RALEIGH
State : NC
Zip : 27616-2828
Country : US
Telephone Number : 919-948-3082
Fax Number : 919-869-2235
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2022
Last Update Date : 01/26/2026

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