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NPI Code Detail

MEDICARE: DR. SARA BRIGMAN OD

MEDICARE:  DR. SARA  BRIGMAN  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
1152W00000XOptometrist1941NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1093RTOTHERNCBCBSNC PIN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710970165
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARA BRIGMAN OD
Provider Business Mailing Address
First Line : 3901 OLEANDER DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-6733
Country : US
Telephone Number : 910-395-2772
Fax Number : 910-794-4131
Provider Business Practice Location Address
First Line : 3901 OLEANDER DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-6733
Country : US
Telephone Number : 910-395-2772
Fax Number : 910-794-4131
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2005
Last Update Date : 09/14/2009

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