Mecklenburg Eye Associates PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MECKLENBURG EYE ASSOCIATES PA

Practice address

2015 Randolph Rd
Suite 108
Charlotte, NC 28207-1200

Phone

(704) 334-2020

Fax

(704) 334-6175

NPI assigned

Apr 13, 2006

Last updated

Feb 20, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James J Bedrick, MDNPI 1942279138

Title

Partner

Phone

(704) 334-2020

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• James J Bedrick, M.D.

  • Ophthalmology Physician
  • Charlotte, NC
  • NPI 1942279138
  Authorized official Same address or phone

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392854400000",
    "number": "1578527040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 RANDOLPH RD",
            "address_2": "SUITE 108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071200",
            "telephone_number": "704-334-2020",
            "fax_number": "704-334-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 RANDOLPH RD",
            "address_2": "SUITE 108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071200",
            "telephone_number": "704-334-2020",
            "fax_number": "704-334-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MECKLENBURG EYE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2014-02-20",
        "status": "A",
        "authorized_official_last_name": "BEDRICK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "704-334-2020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890206C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mecklenburg Diagnostic Imaging LLC (Novant Health Imaging Southpark)
• Mecklenburg Dynamic Solutions, LTD. Liability Co (Mecklenburg Phlebotomy)
• Mecklenburg Ear Nose and Throat
• Mecklenburg Emergency Medical Services Agency (Medic)
• Mecklenburg Eye Associates PA
• Mecklenburg Eye Associates PA
• Mecklenburg Foot & Ankle Associates
• Mecklenburg Foot & Ankle Associates and Diabetic Foot Clinic PC
• Mecklenburg Health and Rehabilitation, LLC
• Mecklenburg Health Care Center, Inc. (Mecklenburg Health & Rehabilitation Center)

• Ophthalmology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.