Organization
MECKLENBURG EYE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES A BOLTNICK MD (VICE-PRESIDENT)
(704) 334-2020
Entity
Organization
Contact information
Practice address
724 ARDEN LN STE 120, ROCK HILL, SC 29732-2995
(803) 324-2522
(803) 324-2522
Mailing address
2015 RANDOLPH RD STE 108, CHARLOTTE, NC 28207-1200
(704) 334-2020
(704) 334-6175
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
15966
SC
Other
Enumeration date
09/03/2008
Last updated
09/28/2012
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