Organization
UNIVERSITY EYE ASSOCIATES OD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DECEMBER SMITH JOHNSON (PRACTICE ADMINISTRATOR)
(910) 505-7500
Entity
Organization
Contact information
Practice address
8316 MEDICAL PLAZA DR STE E, CHARLOTTE, NC 28262-6704
(704) 547-1551
(704) 548-8017
Mailing address
8316 MEDICAL PLAZA DR STE E, CHARLOTTE, NC 28262-6704
(704) 547-1551
(704) 548-8017
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0901F
BLUE CROSS BLUE SHIELD
NC
05
—
890901F
—
NC
Enumeration date
05/01/2006
Last updated
08/14/2025
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