Charlotte Eye Ear Nose & Throat Associates, PA
Organization Active NPI Ophthalmology Physician · Belmont, NC
NPI 1114112893 · NPPES record last updated Jan 23, 2024
Key facts
- NPI
- 1114112893
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- Legal business name
- CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA
- Practice address
- 400 Park St
Belmont, NC 28012-3368 - Phone
- (704) 295-3000
- Fax
- (704) 838-8494
- NPI assigned
- Sep 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Jag S Gill, SCD
- Title
- Ceo
- Phone
- (704) 295-3000
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0941192 | Charlotte Eye Ear Nose & Throat Assocs PA | Certificate of waiver | Feb 22, 2028 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | Yes | ||
| Otolaryngology Physician |
207Y00000X |
Addresses
Primary practice location
400 Park St
Belmont, NC 28012-3368
Mailing address
6035 Fairview Rd
Charlotte, NC 28210-3256
Phone (704) 295-3000
Other providers in Belmont, NC
- Catawba Home Health
- Catawba River Emergency Physicians, PLLC
- Celcor Corporation
- Central Chiropractic & Sports Medicine, PC
- Dara S Champion
- Charlotte Eye Ear Nose & Throat Associates, PA
- Morgan Christine Chick
- Christian Hart, DDS, PLLC
- Brook Ashley Christopher
- Jaymee M Chu
All providers in Belmont, NC · Ophthalmology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.