Organization
YVONNE T. SHOOK O.D.P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YVONNE T SHOOK O.D. (OPTOMETRIST)
(704) 553-2020
Entity
Organization
Contact information
Practice address
1433 EMERYWOOD DR, SUITE C, CHARLOTTE, NC 28210-4105
(704) 553-2020
Mailing address
1433 EMERYWOOD DR, SUITE C, CHARLOTTE, NC 28210-4105
(704) 553-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NC1355
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890987A
—
NC
Enumeration date
03/30/2012
Last updated
03/30/2012
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