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Organization

DAVID WICHNOSKI, O.D. , P.A.

Active
Other names
Spectrum Eye Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID JOSEPH WICHNOSKI OD (PRESIDENT)
(704) 543-9000
Entity
Organization

Contact information

Practice address
7615 COLONY RD, STE 105, CHARLOTTE, NC 28226
(704) 543-9000
(704) 543-9002
Mailing address
7615 COLONY RD, STE 105, CHARLOTTE, NC 28226
(704) 543-9000
(704) 543-9002

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1632
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89090SL
NC
Enumeration date
03/27/2007
Last updated
06/13/2013
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