Provider Demographics
NPI:1043211709
Name:HILBURN, DARREN WINSTON (OD)
Entity Type:Individual
Prefix:DR
First Name:DARREN
Middle Name:WINSTON
Last Name:HILBURN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1049 BEAVER CREEK COMMONS DR
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-3918
Mailing Address - Country:US
Mailing Address - Phone:919-367-7889
Mailing Address - Fax:919-249-4079
Practice Address - Street 1:1049 BEAVER CREEK COMMONS DR
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-3918
Practice Address - Country:US
Practice Address - Phone:919-367-7889
Practice Address - Fax:919-249-4079
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1862152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89093M9Medicaid
NC2200448OtherUNITED HEALTHCARE
NC25778OtherOPTICARE
NC093M9OtherBCBS
NC2102833OtherOPTIMUM CHOICE OF THE CAR
NC803187OtherCOMMUNITY EYECARE
NC2102833OtherMAMSI
NCU94389Medicare UPIN
NC2472580BMedicare PIN
NC25778OtherOPTICARE
NC2200448OtherUNITED HEALTHCARE