Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 1080 | NC |
NPI | 1265424246 |
---|---|
Provider Name | Dr. Billy Keith Cash |
First Address | Winston-Salem, NC 27106-4651 |
Second Address | Winston-Salem, NC 27106-4651 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2005 |
Last Update Date | 30/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0913A | BCBSNC (01) | NC |
246392B | MEDICARE PROVIDER TRANSACTION ACCESS NUMBER (01) | NC |
410023168 | RAILROAD MEDICARE (01) | NC |
T64930 | (02) | NC |