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NPI Code Detail

MEDICARE: DR ALAN L BYRD AND ASSOCIATES OF ANGIER OD PA

MEDICARE: DR ALAN L BYRD AND ASSOCIATES OF ANGIER OD PA
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
1152W00000XOptometrist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1017ETOTHERNCBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720169220
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR ALAN L BYRD AND ASSOCIATES OF ANGIER OD PA
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 : PRESIDENT
Name : ALAN L BYRD
Credential : OD
Telephone Number : 919-639-2020
Provider Enumeration Date : 10/18/2006
Last Update Date : 01/19/2011

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