Charlotte Ophthalmology Clinic P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

32307 Issued in NC

Legal business name

CHARLOTTE OPHTHALMOLOGY CLINIC P.A.

Practice address

16610 Birkdale Commons Pkwy Ste a
Huntersville, NC 28078-5646

Phone

(704) 895-8200

Fax

(704) 997-8708

NPI assigned

Apr 20, 2006

Last updated

Sep 24, 2020By 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

Brandon C Whiteside, MDNPI 1952367484

Title

President

Phone

(704) 895-8200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 5

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.

• Brandon C Whiteside, MD

  • Ophthalmology Physician
  • Huntersville, NC
  • NPI 1952367484

  Corneal and Contact Management

  Medicare reassignment Care Compare group NPD Authorized official
• Daniela M. Whiteside, MD

  • Ophthalmology Physician
  • Cornelius, NC
  • NPI 1134352867
  Medicare reassignment Care Compare group NPD
• Ariel Marion Cerenzie, OD

  • Optometrist
  • Charlotte, NC
  • NPI 1972023646
  Medicare reassignment NPD
• Boyd Vaziri, M.D.

  • Ophthalmology Physician
  • Fort Myers, FL
  • NPI 1083685234

  NC

  Medicare reassignment NPD
• Charlene Keating Henderson, O.D.

  • Optometrist
  • Charlotte, NC
  • NPI 1083866610
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1851356844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16610 BIRKDALE COMMONS PKWY STE A",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785646",
            "telephone_number": "704-895-8200",
            "fax_number": "704-997-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16610 BIRKDALE COMMONS PKWY STE A",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785646",
            "telephone_number": "704-895-8200",
            "fax_number": "704-997-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE OPHTHALMOLOGY CLINIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "WHITESIDE",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-895-8200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "32307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Gastroenterology & Hepatology, PLLC
• Charlotte Mecklenburg Hospital Authority (Levine Cancer Institute)
• Charlotte Metro Hyperbarics, Inc
• Charlotte Obstetric and Gynecological Associates (Atrium Health Women's Care Charlotte OB/GYN)
• Charlotte Ophthalmology Clinic P.a.
• Charlotte Senior Care, LLC (Amada Senior Care Charlotte)
• Charlotte-Mecklenburg Hospital Authority (Levine Cancer Institute)
• Henry Chase V, LCMHCA
• Alexander Walter Chasnis, MD
• Chatterbox Speech Therapy Services, PLLC

• Ophthalmology Physician in Huntersville, NC
• Providers in Huntersville, 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 Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.