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PIEDMONT EYE CARE ASSOCIATES OD PLLC NPI 1144322058


NPI Information

NPI: 1144322058
Provider Name: PIEDMONT EYE CARE ASSOCIATES, OD, PLLC
Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 34D1059215

Address:
8811 BLAKENEY PROFESSIONAL DR
SUITE 100
CHARLOTTE, NC
ZIP 28277
Phone: (704) 926-3937
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PIEDMONT EYE CARE ASSOCIATES, OD, PLLC is an optometrist in Charlotte, NC. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. PIEDMONT EYE CARE ASSOCIATES, OD, PLLC NPI is 1144322058. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8811 BLAKENEY PROFESSIONAL DR
SUITE 100
CHARLOTTE, NC
ZIP 28277-598
Phone: (704) 926-3937
Fax: (704) 926-3938

The provider's authorized official is Michael James Johnson .
The authorized official title is Member and has the following contact phone number (704) 926-3937.

The CLIA number assigned to this NPI record is 34D1059215 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 6/30/2015.


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
1152W00000XOptometrist1458NORTH CAROLINAYes

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
17148542OTHERAETNA NON-HMO
2015NYOTHERBC/BS NC
33471651OTHERAETNA HMO
42335669MEDICARE ID-TYPE UNSPECIFIED
55131920001MEDICARE 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

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