Provider Demographics
NPI:1184722472
Name:HILBURN, ALLISON LAWSON (OD)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:LAWSON
Last Name:HILBURN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 STARITA CT
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-4010
Mailing Address - Country:US
Mailing Address - Phone:919-387-3487
Mailing Address - Fax:
Practice Address - Street 1:100 BUTTERNUT LN
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-5868
Practice Address - Country:US
Practice Address - Phone:919-550-2464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1866152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC25774OtherOPTICARE
NC5981030001OtherPALMETTTO
NC9265865OtherCIGNA
NC2259253OtherUHC
NC811588OtherCOMMUNITY EYE CARE
NC199882OtherMEDCOST
NC260572880OtherSVS
NC242714OtherMAMSI
NC562184637OtherSVS
NCB5741OtherMEDCOST
NC5908681Medicaid
NC1310160001OtherPALMETTO (CLAYTON)
NC223535OtherEYEMED
NC093K9OtherBCBS
NC2472425BMedicare PIN
NC2472425AMedicare PIN
NC093K9OtherBCBS
NC223535OtherEYEMED