Organization
METROLINA EYE ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICOLAS M TAVARES (CHIEF EXECUTIVE OFFICER)
(704) 234-1934
Entity
Organization
Contact information
Practice address
630 COMFORT LANE, SUITE E, MONROE, NC 28112-6493
(704) 289-5455
(704) 291-2207
Mailing address
630 COMFORT LANE, SUITE E, MONROE, NC 28112-6493
(704) 289-5455
(704) 291-2207
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89016P7
—
NC
Enumeration date
05/18/2006
Last updated
11/26/2024
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