Individual
SOHAM PHATAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3849 TERRELL PARK DR., SUITE 100, SHERRILLS FORD, NC 28673
(704) 270-4740
Mailing address
7547 WATERSIDE LOOP RD STE A, DENVER, NC 28037-7678
(704) 822-9920
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2889
NC
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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