Organization
DAVID WICHNOKSI OD PA
Active
Parent organization
DAVID WICHNOSKI OD PA
Other names
Spectrum Eyecare
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVID WICHNOSKI OD PA
Authorized official
DR. DAVID J WICHNOSKI OD (PRESIDENT)
(704) 543-9000
Entity
Organization
Contact information
Practice address
200 S COLLEGE ST STE 307, CHARLOTTE, NC 28202-2065
(704) 334-4444
(704) 334-4441
Mailing address
7615 COLONY RD, CHARLOTTE, NC 28226-5017
(704) 543-9000
(704) 543-9002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1632
NC
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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