Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
1 | 207WX0107X | Ophthalmology | Retina Specialist | DR.0055882 | COLORADO | No |
2 | 207WX0107X | Ophthalmology | Retina Specialist | 2021-00074 | NORTH CAROLINA | No |
3 | 207WX0108X | Ophthalmology | Uveitis and Ocular Inflammatory Disease | 2021-00074 | NORTH CAROLINA | No |
4 | 207W00000X | Ophthalmology | | 2021-00074 | NORTH CAROLINA | Yes |