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CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES P.A. NPI 1043287469


NPI Information

NPI: 1043287469
Provider Name: CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, P.A.
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 34D0887413

Address:
6035 FAIRVIEW RD
CHARLOTTE, NC
ZIP 28210
Phone: (704) 295-3000
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CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, P.A. 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, P.A. NPI is 1043287469. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6035 FAIRVIEW RD
CHARLOTTE, NC
ZIP 28210-256
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) 295-3400.

The CLIA number assigned to this NPI record is 34D0887413 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/3/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristNo
2207Y00000XOtolaryngologyNo
3207W00000XOphthalmologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1890198TMEDICAIDNORTH CAROLINA
2E04769MEDICAIDSOUTH CAROLINA
33521OTHERDOCTORS HEALTH
48381115OTHERAETNA PPO
5DAN990MEDICAIDSOUTH CAROLINA
624226OTHERPARTNERS
7NC60802AOTHERBEECH STREET
85874MEDICARE PINSOUTH CAROLINA
90198TOTHERBCBS NC - ENT SPECIALTY
10545513OTHERAETNA HMO
112317645MEDICARE PINNORTH CAROLINA
120264730001MEDICARE 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.