Individual provider · NPI-1

James Joseph Maloney, LDO

Technician/Technologist, Optician · Charlotte, NC

NPI number1710759741
StatusActive
Last updated in NPPESOct 24, 2023

Details

NPI
1710759741
Entity type
Individual (NPI-1)
Name
James Joseph Maloney
Credential
LDO
Sex
Male
Sole proprietor
No
Enumeration date
Oct 24, 2023
Certification date
Oct 21, 2023
Last updated
Oct 24, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician1916NCYes

Practice location

1830 Galleria Blvd
Att. Vision Center
Charlotte, NC 28270

Phone 704-841-1621

Mailing address

4300 Mary Point Rd
Monroe, NC 28110-8665

Phone 704-236-6483

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