Sandra Nassar, OD
Optometrist in Charlotte, NC. Individual provider (NPI-1).
NPI number1154843365
StatusActive
Last updated in NPPESSep 12, 2019
Details
- NPI
- 1154843365
- Entity type
- Individual (NPI-1)
- Name
- Sandra Nassar
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2017
- Last updated
- Sep 12, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 2582 | NC | Yes |
Practice location
6035 Fairview RdCharlotte, NC 28210-3256
Phone 704-295-3000
Mailing address
2506 McClintock Rd Unit 105Charlotte, NC 28205-5252
Phone 412-889-7420
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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