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
Last updated
May 9, 2012By the provider in NPPES
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, ODNPI 1386693257
Title
President
Phone
(704) 943-5110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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.