MEDICARE: DR. ALAN L BYRD 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
1	152W00000X	Optometrist	1575	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00236935	OTHER	NC	RAILROAD MEDICARE
4	410049545	OTHER	NC	RAILROAD MEDICARE
5	P00221983	OTHER	NC	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0922C	OTHER	NC	BLUE CROSS BLUE SHIELD
6	0936E	OTHER	NC	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1336124833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN L BYRD OD

Provider Business Mailing Address
First Line	:	8313 S NC 55 HWY
Second Line	:
City	:	WILLOW SPRING
State	:	NC
Zip	:	27592-9543
Country	:	US
Telephone Number	:	919-639-2020
Fax Number	:	919-639-8508

Provider Business Practice Location Address
First Line	:	8313 S NC 55 HWY
Second Line	:
City	:	WILLOW SPRING
State	:	NC
Zip	:	27592-9543
Country	:	US
Telephone Number	:	919-639-2020
Fax Number	:	919-639-8508

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2005
Last Update Date	:	01/24/2011

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Directions to “ DR. ALAN L BYRD OD” Practice Location

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