Provider Demographics
NPI:1417949413
Name:PLIHCIK, SPRING LUELLEN (OD)
Entity Type:Individual
Prefix:DR
First Name:SPRING
Middle Name:LUELLEN
Last Name:PLIHCIK
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:SPRING
Other - Middle Name:LUELLEN
Other - Last Name:PANKRATZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:630 COMFORT LN
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28112-6199
Mailing Address - Country:US
Mailing Address - Phone:704-234-1930
Mailing Address - Fax:833-231-6851
Practice Address - Street 1:630 COMFORT LN
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-6199
Practice Address - Country:US
Practice Address - Phone:704-234-1930
Practice Address - Fax:833-231-6851
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0118 000737152W00000X
VA0601 002302152WC0802X
NC2584152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management