Organization
CORTE AND WRUBLE, OD, PLLC
Active
Other names
Northlake Eye
Organization subpart
No
Provider details
NPI number
Authorized official
RACHAEL WRUBLE (OPTOMETRIST/OWNER)
(704) 860-9944
Entity
Organization
Contact information
Practice address
6801 NORTHLAKE MALL DR, CHARLOTTE, NC 28216-0711
(704) 509-4490
Mailing address
PO BOX 1330, BELMONT, NC 28012-1330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2165
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AO8892
EYEMED
NC
Enumeration date
03/27/2017
Last updated
05/13/2020
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