Individual
DR. AMIR KHOSHNEVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8320 UNIVERSITY EXEC PARK DR, SUITE 100, CHARLOTTE, NC 28262-1338
(704) 295-0123
Mailing address
2424 W MALLARD CREEK CHURCH RD, STE D, CHARLOTTE, NC 28262-5800
(704) 295-0123
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1714
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89093JG
—
NC
Enumeration date
08/15/2005
Last updated
03/16/2020
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