Organization
UNIVERSITY EYE ASSOCIATES, OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY ALEXANDER (ADMINISTRATOR)
(704) 547-1551
Entity
Organization
Contact information
Practice address
9651 BROOKDALE DR., SUITE 800, CHARLOTTE, NC 28215-8105
(704) 536-6042
(704) 563-5917
Mailing address
9651 BROOKDALE DR., SUITE 800, CHARLOTTE, NC 28215-8105
(704) 536-6042
(704) 563-5917
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09040
BLUE CROSS BLUE SHIELD
NC
05
—
7909040
—
NC
Enumeration date
05/01/2006
Last updated
06/29/2012
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