Active NPI
C Clearly Eye Care Optometry
- Optometrist
- Charlotte, NC
National Provider Identifier
1861015752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- C CLEARLY EYE CARE OPTOMETRY
- Practice address
- 500 Tyvola Rd
Charlotte, NC 28217-3504 - Phone
- (704) 501-2406
- NPI assigned
- May 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Marc Cohen, O.D.
- Title
- President
- Phone
- (617) 549-5162
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
500 Tyvola Rd
Charlotte, NC 28217-3504
Mailing address
500 Tyvola Rd
Charlotte, NC 28217-3504
Phone (704) 501-2406
National Provider Directory
National Provider DirectoryLocations
500 Tyvola Rd
Charlotte, NC 28217
Phone (704) 501-2402
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Rock Hill, SC
- NPI 1457436636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590451200000",
"number": "1861015752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 TYVOLA RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282173504",
"telephone_number": "704-501-2406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 TYVOLA RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282173504",
"telephone_number": "704-501-2406"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C CLEARLY EYE CARE OPTOMETRY",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-26",
"last_updated": "2020-05-26",
"certification_date": "2020-05-26",
"status": "A",
"authorized_official_last_name": "COHEN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "MARC",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "617-549-5162",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY 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 May 26, 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.