Organization · NPI-2

Advance Eyecare Associates, O.D., P.A.

Optometrist · Charlotte, NC

NPI number1972868420

StatusActive

Last updated in NPPESJul 11, 2012

Details

NPI: 1972868420
Entity type: Organization (NPI-2)
Legal business name: Advance Eyecare Associates, O.D., P.A.
Organization subpart: No
Enumeration date: Jul 11, 2012
Last updated: Jul 11, 2012

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
152W00000X	Optometrist	–	–	Yes
152WC0802X	Optometrist, Corneal and Contact Management	–	–
152WP0200X	Optometrist, Pediatrics	–	–
152WS0006X	Optometrist, Sports Vision	–	–
152WV0400X	Optometrist, Vision Therapy	–	–

Practice location

15235 John J Delaney Dr Ste H
Charlotte, NC 28277-2959

Phone 704-752-1744 · Fax 704-752-1844

Mailing address

15235 John J Delaney Dr Ste H
Charlotte, NC 28277-2959

Phone 704-752-1744 · Fax 704-752-1844

Authorized official

Sarit G Catchatoorian
President
7047521744

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