Provider Demographics
NPI:1417940958
Name:SILVER, CAROLINE (OD)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:SILVER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7100 SIX FORKS RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-6156
Mailing Address - Country:US
Mailing Address - Phone:919-847-0187
Mailing Address - Fax:919-676-2231
Practice Address - Street 1:2346 WALNUT ST
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-9210
Practice Address - Country:US
Practice Address - Phone:919-851-0093
Practice Address - Fax:919-657-0030
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1426152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC410048140OtherRAILROAD MEDICARE
NC093A2OtherBLUECROSS
NC89093A2Medicaid
NC89093A2Medicaid