Provider Demographics
NPI:1851685093
Name:STARNES, CARRIANNE GRUBB (OD)
Entity Type:Individual
Prefix:DR
First Name:CARRIANNE
Middle Name:GRUBB
Last Name:STARNES
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1950 OLD GALLOWS RD
Mailing Address - Street 2:520
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3990
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:703-991-0514
Practice Address - Street 1:3905 NEW BERN AVE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-1332
Practice Address - Country:US
Practice Address - Phone:919-231-6040
Practice Address - Fax:919-231-6044
Is Sole Proprietor?:No
Enumeration Date:2011-06-06
Last Update Date:2017-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-C64152W00000X
NC2249152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC171KWOtherBCBS OF NC
NC5920049Medicaid
NC171KWOtherBCBS OF NC