Provider Demographics
NPI:1265424246
Name:CASH, BILLY KEITH (OD)
Entity type:Individual
Prefix:DR
First Name:BILLY
Middle Name:KEITH
Last Name:CASH
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2596 REYNOLDA RD
Mailing Address - Street 2:STE A
Mailing Address - City:WINSTON-SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-4651
Mailing Address - Country:US
Mailing Address - Phone:336-777-1722
Mailing Address - Fax:336-725-6954
Practice Address - Street 1:2596 REYNOLDA RD
Practice Address - Street 2:STE A
Practice Address - City:WINSTON-SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-4651
Practice Address - Country:US
Practice Address - Phone:336-777-1722
Practice Address - Fax:336-725-6954
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1080152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0913AOtherBCBSNC
NC246392BOtherMEDICARE PROVIDER TRANSACTION ACCESS NUMBER
NC410023168OtherRAILROAD MEDICARE
NCT64930Medicare UPIN
NC0913AOtherBCBSNC
NC0913AOtherBCBSNC