Individual
MATTHEW BLANE CARPENTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8429 PINEVILLE MATTHEWS RD, CHARLOTTE, NC 28226-4704
(704) 542-0501
(704) 542-4733
Mailing address
8429 PINEVILLE MATTHEWS RD, CHARLOTTE, NC 28226-4704
(704) 542-0501
(704) 542-4733
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1179
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09133
BCBS
NC
01
—
4390933
AETNA
NC
Enumeration date
05/03/2006
Last updated
07/08/2007
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