Individual
DR. ROBERT L GAZDECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3240 WILKINSON BLVD, CHARLOTTE, NC 28208-5630
(704) 392-7699
(704) 392-1716
Mailing address
212 MOCKINGBIRD LN, LINCOLNTON, NC 28092-3259
(704) 392-7699
(704) 392-1716
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0978
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8909314
—
NC
Enumeration date
11/14/2006
Last updated
05/14/2008
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