Organization
MECKLENBURG EYE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES A BLOTNICK MD (VICE-PRESIDENT)
(704) 334-2020
Entity
Organization
Contact information
Practice address
8730 UNIVERSITY CITY BLVD, CHARLOTTE, NC 28213-3558
(704) 547-8730
(704) 549-5565
Mailing address
2015 RANDOLPH RD STE 108, CHARLOTTE, NC 28207-1200
(704) 334-2020
(704) 334-6175
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
200001547667
NC
Other
Enumeration date
09/03/2008
Last updated
09/28/2012
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