Payne, Kevin Gerald

Payne, Kevin Gerald is an individual health care provider with primary practice located at 2402 Montgomery Dr Wilson Eye Associates, Wilson NC 27893-4421. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Payne, Kevin Gerald can be contacted via phone (252) 243-2020.

Contact Information

Primary practice address
2402 Montgomery Dr Wilson Eye Associates Wilson NC 27893-4421
Phone: (252) 243-2020
Fax: (252) 291-2020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1372 North Carolina

Profile Details

NPI number 1932151875
LBN Legal business name Payne, Kevin Gerald
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Oct 12th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932151875 NPPES
North Carolina MEDICAID 8909704
North Carolina Other 410029823
North Carolina Other 09704
North Carolina Other 2280102
North Carolina Other 70258
North Carolina Other PALMETTO

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