South Fork Optometric Associates, P.A.
LBN: South Fork Optometric Associates, P.A.
South Fork Optometric Associates, P.A. is an health care organization with primary practice located at 9820 Callabridge Ct , Charlotte NC 28216-7669. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
South Fork Optometric Associates, P.A. can be contacted via phone (704) 394-3886, or through Faulk, Joseph via phone (704) 394-3886.
Contact Information
Primary practice address
9820 Callabridge Ct
Charlotte NC 28216-7669
Phone: (704) 394-3886
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2328 | North Carolina |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2255 | North Carolina |
Profile Details
| NPI number | 1619366507 |
|---|---|
| LBN Legal business name | South Fork Optometric Associates, P.A. |
| DBA Doing business as | |
| Authorized official | Faulk, Joseph |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 14th, 2015 |
| Last updated | Jan 14th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619366507 | NPPES |
| North Carolina | Other | 02917 | DAVIS |
| North Carolina | Other | 0938G | DAVIS |
| North Carolina | Other | 1741X | DAVIS |
| North Carolina | Other | A16758 | DAVIS |
| North Carolina | Other | 17174 | DAVIS |
| North Carolina | Other | A12474 | DAVIS |
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