Organization
WILLANE A. WYLIE, O.D. & ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLANE ARETTA WYLIE O.D. (OWNER/OPTOMETRIST)
(704) 575-6796
Entity
Organization
Contact information
Practice address
9820 CALLABRIDGE CT, CHARLOTTE, NC 28216-7669
(704) 398-9115
Mailing address
1948 OROVILLE CT, CHARLOTTE, NC 28214-2567
(704) 575-6796
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1824
NC
Other
Enumeration date
09/21/2009
Last updated
09/22/2009
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