Pedro Cervantes Fanning, M.D.
Ophthalmology in Charlotte, NC. Individual provider (NPI-1).
NPI number1760633812
StatusActive
Last updated in NPPESApr 27, 2021
Details
- NPI
- 1760633812
- Entity type
- Individual (NPI-1)
- Name
- Pedro Cervantes Fanning
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2008
- Certification date
- Apr 27, 2021
- Last updated
- Apr 27, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPHTHALMOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · 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 |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 2016-01762 | NC | Yes |
| 207W00000X | Ophthalmology | 036129100 | IL |
Practice location
13532 Steelecroft ParkwayCharlotte, NC 28278-7545
Phone 704-295-3475 · Fax 704-295-3476
Mailing address
6035 Fairview RdCharlotte, NC 28210-3256
Phone 704-295-3000 · Fax 704-295-3476
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