NPIMap

Organization Active NPI

Metrolina Eye Surgery Center, LLC

  • Ophthalmologic Surgery Clinic/Center
  • Matthews, NC
National Provider Identifier
1356976658
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
Legal business name
METROLINA EYE SURGERY CENTER, LLC
Practice address
4101 Campus Ridge Rd Ste 200
Matthews, NC 28105-5077
Phone
(704) 234-1943
NPI assigned
Mar 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Authorized official

Name
Christopher Archer
Title
Ceo
Phone
(704) 234-1943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X Primary

Addresses

Primary practice location

4101 Campus Ridge Rd Ste 200
Matthews, NC 28105-5077

Mailing address

4101 Campus Ridge Rd Ste 200
Matthews, NC 28105-5077
Phone (704) 234-1943

National Provider Directory

National Provider Directory

Locations

4101 Campus Ridge Rd
Ste 200
Matthews, NC 28105
Phone (704) 234-1943

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1356976658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 CAMPUS RIDGE RD STE 200",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055077",
            "telephone_number": "704-234-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 CAMPUS RIDGE RD STE 200",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055077",
            "telephone_number": "704-234-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROLINA EYE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-234-1943"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.