MEDICARE: DR. CHARLES RICHARD EPES MD

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	207W00000X	Ophthalmology Physician	17246	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	180028993	OTHER	NC	RR MEDICARE PROVIDER #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	10203	OTHER	NC	OPTICARE PROVIDER #
3	4098420	OTHER	NC	AETNA PROVIDER #
4	30685	OTHER	NC	BCBS PROVIDER #
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	035007	OTHER	VA	ANTHEM BCBS PROVIDER #
7	278838	OTHER	NC	MAMSI PROVIDER #
8	61272	OTHER	NC	MEDCOST PROVIDER #
9	740	OTHER	NC	PARTNERS PROVIDER #
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871596809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES RICHARD EPES MD

Provider Business Mailing Address
First Line	:	PO BOX 38157
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27438-8157
Country	:	US
Telephone Number	:	336-282-5000
Fax Number	:	336-482-3778

Provider Business Practice Location Address
First Line	:	3312 BATTLEGROUND AVE
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27410-2402
Country	:	US
Telephone Number	:	336-282-5000
Fax Number	:	336-482-3778

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	03/26/2010

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