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CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES PA NPI 1447445010


NPI Information

NPI: 1447445010
Provider Name: CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 34D1063545

Address:
5933 BLAKENEY PARK DR
SUITE 200
CHARLOTTE, NC
ZIP 28277
Phone: (704) 295-3000
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CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA is an ophthalmology in Charlotte, NC. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA NPI is 1447445010. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5933 BLAKENEY PARK DR
SUITE 200
CHARLOTTE, NC
ZIP 28277-713
Phone: (704) 295-3000
Fax: (704) 838-8494

The provider's authorized official is Jag S Gill .
The authorized official title is Ceo and has the following contact phone number (704) 295-3000.

The CLIA number assigned to this NPI record is 34D1063545 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2007 and was last updated on 4/30/2013.


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
1207Y00000XOtolaryngologyNo
2207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10264730009MEDICARE NSCNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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