Individual
RUCHITA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
10860 PARK RD ST 105, PINEVILLE, NC 28134
(980) 237-9704
Mailing address
9707 BRIARWICK LN, CHARLOTTE, NC 28277-0795
(512) 351-5648
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2610
NC
152W00000X
Optometrist
8997TG
TX
Other
Enumeration date
07/08/2016
Last updated
02/19/2021
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