Macdonald, Angela Everett
Macdonald, Angela Everett is an individual health care provider with primary practice located at 315A Western Boulevard , Jacksonville NC 28546-6338. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Macdonald, Angela Everett can be contacted via phone (910) 353-1011.Contact Information
Primary practice address
315A Western Boulevard
Jacksonville NC 28546-6338
Phone: (910) 353-1011
Fax: (910) 353-4433
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2031 | North Carolina |
Profile Details
| NPI number | 1952405417 |
|---|---|
| LBN Legal business name | Macdonald, Angela Everett |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2006 |
| Last updated | Feb 24th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952405417 | NPPES |
| North Carolina | Other | 093WA | BCBSNC |
| North Carolina | MEDICAID | 5905963 | BCBSNC |
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