Organization
PIEDMONT EYE CARE ASSOCIATES, OD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JAMES JOHNSON O.D. (MEMBER)
(704) 926-3937
Entity
Organization
Contact information
Practice address
8811 BLAKENEY PROFESSIONAL DR, SUITE 100, CHARLOTTE, NC 28277-6598
(704) 926-3937
(704) 926-3938
Mailing address
8811 BLAKENEY PROFESSIONAL DR, SUITE 100, CHARLOTTE, NC 28277-6598
(704) 926-3937
(704) 926-3938
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1458
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015NY
BC/BS NC
—
01
—
3471651
AETNA HMO
—
01
—
7148542
AETNA NON-HMO
—
Enumeration date
09/01/2006
Last updated
06/30/2015
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