| Lorance Kennedy Bumgarner, OD | |
|
160 Fox Hollow, Spectrum Family Eye Center Suite 100, Pinehurst, NC 28374 | |
| (910) 692-3937 | |
| (910) 692-5908 |
| Full Name | Lorance Kennedy Bumgarner |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 160 Fox Hollow, Pinehurst, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578590360 | NPI | - | NPPES |
| 7909135 | Medicaid | NC | |
| 9135 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1042 (North Carolina) | Primary |
| Provider Name | Spectrum Family Eye Center Optometric Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912934704 PECOS PAC ID: 0042268971 Enrollment ID: O20050107000348 |
| Mailing Address | Practice Location Address |
|---|---|
| Lorance Kennedy Bumgarner, OD 160 Fox Hollow, Spectrum Family Eye Center Suite 100, Pinehurst, NC 28374 Ph: (910) 692-3937 | Lorance Kennedy Bumgarner, OD 160 Fox Hollow, Spectrum Family Eye Center Suite 100, Pinehurst, NC 28374 Ph: (910) 692-3937 |
William Scott Athans, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 160 Fox Hollow, Spectrum Family Eye Center, Pinehurst, NC 28374 Phone: 910-692-3937 Fax: 910-692-5908 | |
Valerie K Cox, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 160 Fox Hollow, Suite 100 Spectrum Family Eye Center, Pinehurst, NC 28374 Phone: 910-692-3937 Fax: 910-692-5908 | |
Dr. Michele Philbrick Keel, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 160 Fox Hollow Ct, Pinehurst, NC 28374 Phone: 910-692-3937 Fax: 910-692-5908 | |
Spectrum Family Eye Center Optometric Pa Optometrist Medicare: Medicare Enrolled Practice Location: 160 Fox Hollow, Pinehurst, NC 28374 Phone: 910-692-3937 Fax: 910-692-5908 |