Individual
CATHERINE ROSE DALUYIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2424 W MALLARD CREEK CHURCH RD STE D, CHARLOTTE, NC 28262-5800
(704) 295-0123
(704) 510-9239
Mailing address
2424 W MALLARD CREEK CHURCH RD STE D, CHARLOTTE, NC 28262-5800
(704) 295-0123
(704) 510-9239
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2635
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NNH734A
MEDICARE PTAN
NC
01
—
NNH734B
MEDICARE PTAN
NC
Enumeration date
05/15/2020
Last updated
11/26/2021
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