Individual
DR. THOMAS K MUNDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
135 S SHARON AMITY RD STE 100, CHARLOTTE, NC 28211-3870
(704) 365-0555
(704) 367-8120
Mailing address
PO BOX 60160, CHARLOTTE, NC 28260-0160
(704) 365-0555
(704) 367-8122
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
27495
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61332
BLUE CROSS BLUE SHIELD
NC
05
—
8961332
—
NC
05
—
8961332
—
SC
Enumeration date
06/29/2006
Last updated
02/24/2026
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