Provider Demographics
NPI:1942228358
Name:WUJCIAK, BARBARA ANN (OD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ANN
Last Name:WUJCIAK
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3929 RED HAWK RD
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278
Mailing Address - Country:US
Mailing Address - Phone:919-968-6300
Mailing Address - Fax:919-968-0403
Practice Address - Street 1:200 W WEAVER ST
Practice Address - Street 2:SUITE 1
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-6009
Practice Address - Country:US
Practice Address - Phone:919-968-6300
Practice Address - Fax:919-968-0403
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1407152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1497101OtherUNITED HEALTH CARE MPIN
NC351338OtherMAMSI
NC8909948Medicaid
NC8909948Medicaid
NC1497101OtherUNITED HEALTH CARE MPIN