Individual provider · NPI-1

Roselyn Ahua, O.D.

Optometrist · Charlotte, NC

NPI number1679888556
StatusActive
Last updated in NPPESNov 15, 2017

Details

NPI
1679888556
Entity type
Individual (NPI-1)
Name
Roselyn Ahua
Credential
O.D.
Sex
Female
Sole proprietor
No
Enumeration date
Aug 16, 2010
Last updated
Nov 15, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist2218NCYes
152W00000X OptometristOEG002331PA

Practice location

1960 Randolph Rd
Charlotte, NC 28207-1129

Phone 704-372-5332

Mailing address

1960 Randolph Rd
Charlotte, NC 28207-1129

Phone 704-372-5332

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