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Contact Information

LORANCE K BUMGARNER, OD
160 FOX HOLLOW
SPECTRUM FAMILY EYE CENTER SUITE 100
PINEHURST, NC28374
 Phone: 910-692-3937
 Fax: 910-692-5908
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for LORANCE K BUMGARNER · (Male)

NPI Number 1578590360
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/27/2006
Last updated 02/21/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 1042
  • NC Medicaid 7909135
  • Other 9135 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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