Active NPI
Eyeoptix OD PA
- Optometrist
- Charlotte, NC
National Provider Identifier
1740471408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- EYEOPTIX OD PA
- Practice address
- 15640 John J Delaney Dr
Charlotte, NC 28277-3176 - Phone
- (704) 943-5110
- Fax
- (704) 943-4449
- NPI assigned
- Aug 7, 2007
- Last updated
- Jul 11, 2009
- Organization subpart
- Yes
- Parent organization
- EYEOPTIX OD PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cheryl Moore
- Title
- Insurance Administrator
- Phone
- (704) 714-5338
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
15640 John J Delaney Dr
Charlotte, NC 28277-3176
Mailing address
1960 Randolph Rd
Charlotte, NC 28207-1102
Phone (704) 372-5332
National Provider Directory
National Provider Directory- Part of
- Eyeoptix OD PA
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Optometrist
- Charlotte, NC
- NPI 1457378531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247270400000",
"number": "1740471408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1960 RANDOLPH RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071102",
"telephone_number": "704-372-5332",
"fax_number": "704-714-5343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15640 JOHN J DELANEY DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282773176",
"telephone_number": "704-943-5110",
"fax_number": "704-943-4449"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYEOPTIX OD PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EYEOPTIX OD PA",
"enumeration_date": "2007-08-07",
"last_updated": "2009-07-11",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "CHERYL",
"authorized_official_title_or_position": "INSURANCE ADMINISTRATOR",
"authorized_official_telephone_number": "704-714-5338"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": null,
"license": null,
"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 Jul 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.