Organization Active NPI

Queen City Eye Center, O.D., PLLC

  • Optometrist
  • Charlotte, NC
National Provider Identifier
1154586279
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1889 Issued in NC
Legal business name
QUEEN CITY EYE CENTER, O.D., PLLC
Practice address
11024 Golf Links Drive
Suite 106
Charlotte, NC 28277
Phone
(704) 321-3355
NPI assigned
Jul 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Eric Dudley
Title
Owner
Phone
(704) 321-3355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1889 NC Primary

Addresses

Primary practice location

11024 Golf Links Drive
Suite 106
Charlotte, NC 28277

Mailing address

11024 Golf Links Drive
Suite 106
Charlotte, NC 28277
Phone (704) 321-3355

National Provider Directory

National Provider Directory

Locations

11024 Golf Links Dr
Ste 106
Charlotte, NC 28277
Phone (704) 321-3355

11301 Golf Links Dr N
Ste 106
Charlotte, NC 28277
Phone (704) 321-3355

1801 Windsor Square Dr
Matthews, NC 28105
Phone (704) 847-0118

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1154586279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11024 GOLF LINKS DRIVE",
            "address_2": "SUITE 106",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28277",
            "telephone_number": "704-321-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11024 GOLF LINKS DRIVE",
            "address_2": "SUITE 106",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28277",
            "telephone_number": "704-321-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN CITY EYE CENTER, O.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-321-3355",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.