Organization
CAROLINA FAMILY EYE CARE OF BALLANTYNE, OD, PLLC
Active
Other names
Vision Source Studio 20/20
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID EUGENE LUPINSKI OD (OWNER)
(704) 295-4444
Entity
Organization
Contact information
Practice address
12105 COPPER WAY, SUITE 100, CHARLOTTE, NC 28277-1756
(704) 295-4444
(704) 295-4443
Mailing address
12105 COPPER WAY, SUITE 100, CHARLOTTE, NC 28277-1756
(704) 295-4444
(704) 295-4443
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1816
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1816
LICENSE
NC
Enumeration date
09/20/2006
Last updated
03/04/2026
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