Organization
CHARLOTTE OPTOMETRY GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JAMES JOHNSON O.D. (VICE PRESIDENT)
(704) 567-6755
Entity
Organization
Contact information
Practice address
3061 N SHARON AMITY RD, CHARLOTTE, NC 28205-6600
(704) 567-6755
(704) 567-0238
Mailing address
3061 N SHARON AMITY RD, CHARLOTTE, NC 28205-6600
(704) 567-6755
(704) 567-0238
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1458
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0143T
BC/BS NC
—
01
—
807092
PARTNERS
—
01
—
8381680
AETNA
—
05
—
890143T
—
NC
Enumeration date
09/22/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us