WAVELY LEE SLEDGE (NPI# 1518155712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518155712 |
| Entity Type | Individual |
| Full Name | WAVELY LEE SLEDGE |
| Credential | D.O. |
| Practice Address |
160 Bienville Dr Fayetteville NC 28311-9335 |
| Practice Telephone | 9104880598 |
| Practice Fax Number | 9104880598 |
| Mailing Telephone | 9104880598 |
| Mailing Fax Number | 9104880598 |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2007-10-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
826 | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8801882 | 05 |
| Street Address |
160 BIENVILLE DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28311-9335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700415205 | Marcella Eubanks | Physical Therapy Assistant | Rdl Therapeutic Outpatient Therapy, 424 Mcarthur Rd, Fayetteville, NC 28311 | 2020-04-06 |
| 1144856709 | Laura Johnson | Occupational Therapy Assistant | 424 Mcarthur Rd., Fayetteville, NC 28311 | 2020-03-16 |
| 1326507096 | Senior Transportationl.l.c. | Private Vehicle | 164 Tallstone Dr, Fayetteville, NC 28311 | 2019-03-13 |
| 1154850998 | Shannon Marcella Chapman | Physical Therapist | 4140 Ramsey St Ste 110, Fayetteville, NC 28311 | 2017-06-06 |
| 1306392048 | Gena Oxendine | Counselor | 223 Glenola St, Fayetteville, NC 28311 | 2016-09-01 |
| 1023564010 | Rachel Sokolowski | Physical Therapy Assistant | 231 Treetop Dr., Fayetteville, NC 28311 | 2016-08-30 |
| 1285984765 | Towanaka Yvette Bass | Home Health Aide | 5688 Dobson Drive, Fayetteville, NC 28311 | 2012-09-12 |
| 1255574448 | Amy E. Southworth | Occupational Therapist | 3409 Connection Rd, Fayetteville, NC 28311 | 2009-04-17 |
| 1922246818 | Calhoun Family Pharmacy Inc | Pharmacy | 4417 Ramsey Street, Fayetteville, NC 28311 | 2009-01-30 |
| 1003051210 | Us Army | Clinic/Center | 5587 Lockridge Road, Fayetteville, NC 28311 | 2008-12-03 |
| Find all providers in zip 28311 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185205 | Dale A Klauss | Technician/Technologist | 294 Kenwood Rd Ste A, Fayetteville, GA 30214-3451 | 2020-02-10 |
| 1720446776 | Wal-mart Store East, Lp | Technician/Technologist | 2820 Gillespie St., Fayetteville, NC 28306 | 2016-02-05 |
| 1548653967 | National Vision, Inc. | Technician/Technologist | 105 Pavilion Pkwy, Fayetteville, GA 30214-4098 | 2015-03-10 |
| 1992082945 | Lil' Eyewear Outlet | Technician/Technologist | 120 Georgia Ave E, Fayetteville, GA 30214-1616 | 2011-11-04 |
| 1346401650 | Traci L Wyatt | Technician/Technologist | 104 W Colt Square Dr, Suite 2, Fayetteville, AR 72703-2834 | 2008-06-19 |
| 1518169127 | Christina Lynn Doty | Technician/Technologist | 1800 N Skibo Rd St, 148 A, Fayetteville, NC 28303 | 2007-06-05 |
| 1518183896 | Richard E Reichert | Technician/Technologist | 5924 Cliffdale Rd Ste 112a, Fayetteville, NC 28314-2100 | 2007-04-17 |
| 1184773608 | Gold Optical Enterprise Inc | Technician/Technologist | 1635 Owen Dr, Fayetteville, NC 28304-3425 | 2007-01-10 |
| 1710388210 | America's Best Contacts & Eyeglasses | Technician/Technologist | 5075 Morganton Rd, Ste 9b, Fayetteville, NC 28314-1587 | 2014-09-16 |
| 1093086159 | Patrick K Alfred | Technician/Technologist | 120 Georgia Ave E, Fayetteville, GA 30214-1616 | 2012-01-21 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28311 |
Please comment or provide details below to improve the information on WAVELY LEE SLEDGE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.