NPIMap

Organization Active NPI

Carolinas Vision Group

  • Optometrist
  • Charlotte, NC
National Provider Identifier
1285993428
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2050 Issued in NC
Legal business name
CAROLINAS VISION GROUP
Practice address
15640 John J Delaney Dr
Suite C
Charlotte, NC 28277-3176
Phone
(704) 943-5110
Fax
(704) 943-4449
NPI assigned
May 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Authorized official

Name
Dr. Charles M Knudson, OD
Title
President
Phone
(704) 943-5110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2050 NC Primary

Addresses

Primary practice location

15640 John J Delaney Dr
Suite C
Charlotte, NC 28277-3176

Mailing address

15640 John J Delaney Dr
Suite C
Charlotte, NC 28277-3176
Phone (704) 943-5110

National Provider Directory

National Provider Directory

Locations

11030 Golf Links Dr
Ste 203
Charlotte, NC 28277

15640 Don Lochman Ln
Charlotte, NC 28277
Phone (704) 540-1640

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1285993428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15640 JOHN J DELANEY DR",
            "address_2": "SUITE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773176",
            "telephone_number": "704-943-5110",
            "fax_number": "704-943-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15640 JOHN J DELANEY DR",
            "address_2": "SUITE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773176",
            "telephone_number": "704-943-5110",
            "fax_number": "704-943-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS VISION GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "KNUDSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-943-5110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2050",
            "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 May 9, 2012; 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.