Charlotte Optometry Center, O.D., Pllc

LBN: Charlotte Optometry Center, O.D., Pllc
Charlotte Optometry Center, O.D., Pllc is an health care organization with primary practice located at 8701 Jw Clay Blvd , Charlotte NC 28262-5417. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Charlotte Optometry Center, O.D., Pllc can be contacted via phone (704) 510-0816, or through Dudley, Lisa Carol via phone (704) 510-0816.

Contact Information

Primary practice address
8701 Jw Clay Blvd Charlotte NC 28262-5417
Phone: (704) 510-0816
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dudley, Lisa Carol Doctor of Optometry (OD)
Phone: (704) 510-0816

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1924 North Carolina

Profile Details

NPI number 1558782821
LBN Legal business name Charlotte Optometry Center, O.D., Pllc
DBA Doing business as
Authorized official Dudley, Lisa Carol Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2014
Last updated Mar 7th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558782821 NPPES
North Carolina MEDICAID 89093R5

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