Mecklenburg Eye Associates PA

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

200001547667 Issued in NC

Legal business name

MECKLENBURG EYE ASSOCIATES PA

Practice address

8730 University City Blvd
Charlotte, NC 28213-3558

Phone

(704) 547-8730

Fax

(704) 549-5565

NPI assigned

Sep 3, 2008

Last updated

Sep 28, 2012By 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

Charles A Blotnick, MDNPI 1457320020

Title

Vice-President

Phone

(704) 334-2020

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Charles A Blotnick, M.D.

  • Ophthalmology Physician
  • Charlotte, NC
  • NPI 1457320020
  Authorized official Same address or phone
• James J Bedrick, M.D.

  • Ophthalmology Physician
  • Charlotte, NC
  • NPI 1942279138
  NPD (past)

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348790400000",
    "number": "1972751964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 RANDOLPH RD STE 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": "8730 UNIVERSITY CITY BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282133558",
            "telephone_number": "704-547-8730",
            "fax_number": "704-549-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MECKLENBURG EYE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2012-09-28",
        "status": "A",
        "authorized_official_last_name": "BLOTNICK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "704-334-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NC",
            "license": "200001547667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mecklenburg Dynamic Solutions, LTD. Liability Co (Mecklenburg Phlebotomy)
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• 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)
• Mecklenburg Heart Specialists, P.a.

• Eyewear Supplier in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Eyewear Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.