Organization
CHARLOTTE OPTOMETRY CENTER, O.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA CAROL DUDLEY O.D. (MANAGING PARTNER)
(704) 510-0816
Entity
Organization
Contact information
Practice address
8701 JW CLAY BLVD, CHARLOTTE, NC 28262-5417
(704) 510-0816
Mailing address
8701 JW CLAY BLVD, CHARLOTTE, NC 28262-5417
(704) 510-0816
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1924
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89093R5
—
NC
Enumeration date
01/03/2014
Last updated
03/07/2023
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