Provider Demographics
NPI:1891857397
Name:RAYNOR, DANFORD E II (OD)
Entity Type:Individual
Prefix:DR
First Name:DANFORD
Middle Name:E
Last Name:RAYNOR
Suffix:II
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:757 NC HWY 24/27 BYPASS EAST
Mailing Address - Street 2:
Mailing Address - City:ALBEMARLE
Mailing Address - State:NC
Mailing Address - Zip Code:28001-5349
Mailing Address - Country:US
Mailing Address - Phone:704-983-2431
Mailing Address - Fax:704-983-2434
Practice Address - Street 1:757 NC HWY 24/27 BYPASS EAST
Practice Address - Street 2:
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-5349
Practice Address - Country:US
Practice Address - Phone:704-983-2431
Practice Address - Fax:704-983-2434
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1464152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0853510001OtherPGBA
NC0908EOtherBLUE CROSS BLUE SHIELD
NC0853510001OtherCIGNA GOVERNMENT SERVICES MEDICARE PART B DME
NC410034018OtherRAILROAD MEDICARE
NC1037OtherOPTICARE
NC8909280Medicaid
NCFH7000055OtherFIRST HEALTH
NC77006OtherMEDCOST
NC410034018OtherRAILROAD MEDICARE
NCFH7000055OtherFIRST HEALTH
NC1037OtherOPTICARE
NCU36058Medicare UPIN
NC2468161DMedicare PIN