Provider Demographics
NPI:1568402543
Name:COX, VALERIE K (OD)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:K
Last Name:COX
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 1:160 FOX HOLLOW
Mailing Address - Street 2:SUITE 100 SPECTRUM FAMILY EYE CENTER
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374
Mailing Address - Country:US
Mailing Address - Phone:910-692-3937
Mailing Address - Fax:910-692-5908
Practice Address - Street 1:160 FOX HOLLOW
Practice Address - Street 2:SUITE 100 SPECTRUM FAMILY EYE CENTER
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374
Practice Address - Country:US
Practice Address - Phone:910-692-3937
Practice Address - Fax:910-692-5908
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1246152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC6116OtherMEDCOST
NCFH7000070OtherFIRST CAROLINA CARE
NC8909083Medicaid
NC9083OtherBCBS
NC5388563OtherAETNA
NC9083OtherBCBS
NC246565EMedicare PIN