Provider Demographics
NPI:1528016185
Name:DOERING, LINDA MARIE (OD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:MARIE
Last Name:DOERING
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:LINDA
Other - Middle Name:DOERING
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:313 WB MCLEAN DR
Mailing Address - Street 2:
Mailing Address - City:CAPE CARTERET
Mailing Address - State:NC
Mailing Address - Zip Code:28584-8516
Mailing Address - Country:US
Mailing Address - Phone:252-393-3010
Mailing Address - Fax:252-393-3459
Practice Address - Street 1:313 WB MCLEAN DR
Practice Address - Street 2:
Practice Address - City:CAPE CARTERET
Practice Address - State:NC
Practice Address - Zip Code:28584-8516
Practice Address - Country:US
Practice Address - Phone:252-393-3010
Practice Address - Fax:252-393-3459
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1361152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0984EOtherBCBS PROV #
208811294OtherTRICARE
198849OtherMEDCOST
208811294OtherVSP
208811294OtherSVS
NC5906870Medicaid
NC019JTOtherBCBS
NC890984EMedicaid
208811294OtherOPTICARE
NC2468446EMedicare PIN
208811294OtherVSP
NC5906870Medicaid
208811294OtherTRICARE
208811294OtherSVS
NC5936450001Medicare NSC
NC2468446FMedicare PIN