DR. KATHY DIANE HALVERSON


Address: 3506 W Tyvola Rd, Charlotte, NC 28208-7201
Phone: 7043291300

DR. KATHY DIANE HALVERSON (NPI# 1083669956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083669956
Entity Type Individual
Full Name DR. KATHY DIANE HALVERSON
Credential OD
Practice Address 3506 W Tyvola Rd
Charlotte
NC 28208-7201
Mailing Address 805 Hawthorne Ln
Charlotte
NC 28204-2109
Practice Telephone 7043291300
Practice Fax Number 7043577539
Mailing Telephone 5054140592
Enumeration Date 2006-05-22
Last Update Date 2020-05-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 152W00000X Optometrist 2152 SC Eye and Vision Services Providers
N 152W00000X Optometrist 2194 NC Eye and Vision Services Providers
Y 152W00000X Optometrist 2457 NM Eye and Vision Services Providers

Office Location

Street Address 3506 W TYVOLA RD
City CHARLOTTE
State NC
Zip Code 28208-7201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902415151 Maris Baylor Social Worker 3506 W Tyvola Rd, Charlotte, NC 28208-7201 2020-07-23
1609408764 Ashley Nicole Lee Social Worker 3506 W Tyvola Rd, Charlotte, NC 28208-7201 2020-02-06
1336792191 Megan Constance Psychologist 3506 W Tyvola Rd, Charlotte, NC 28208-7201 2019-07-22
1083266746 Emily Anne Lupsor Social Worker 3506 W Tyvola Rd, Charlotte, NC 28208-7201 2019-07-12
1578093084 Christa L Daino Physical Therapist 3506 W Tyvola Rd, Charlotte, NC 28208-7201 2017-06-16
1568814507 Julia Yearwood Psychologist 3506 W Tyvola Rd, Charlotte, NC 28208-7201 2016-07-01
1962898890 Pavan Angadi Ophthalmology 3506 W Tyvola Rd, Charlotte, NC 28208-7201 2015-04-07
1225380322 Jenee B Thorsell Social Worker 3506 W Tyvola Rd, Charlotte, NC 28208-7201 2012-10-12
1427319623 Kyle Victor Heuer Dentist 3506 W Tyvola Rd, Charlotte, NC 28208-7201 2012-06-04
1376786301 Christine Michelle Murray Family Medicine 3506 W Tyvola Rd, Charlotte, NC 28208-7201 2009-04-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124645544 Charlotte Sp Senior Housing Opco, LLC Custodial Care Facility 6041 Piedmont Row Drive, Charlotte, NC 28208 2020-07-01
1750929659 Tru Pearl Solution Services Pllc Community/Behavioral Health 2128 Remount Road Suite B, Charlotte, NC 28208 2019-12-11
1245880699 Camilla A Raley Technician 1539 Walton Rd, Charlotte, NC 28208 2019-09-18
1912567041 Nolan Scott Blake In Home Supportive Care 4926 Ridgeley Dr., Suite B, Charlotte, NC 28208 2019-06-20
1699244145 Catalyst Chiropractic, Pllc Chiropractor 2620 Tuckaseegee Rd., Charlotte, NC 28208 2018-11-14
1255854691 Jessica Lynne Hunter Social Worker 2011 Water Walk Lane Apt 209, Charlotte, NC 28208 2017-07-18
1700311420 Matthew Christian Mundorf Chiropractor 2620 Tuckaseegee Rd, Charlotte, NC 28208 2017-05-01
1700235439 Erin Merchant Counselor 2016 Millerton Avenue, #2213, Charlotte, NC 28208 2016-06-03
1528432564 Monika Sheree Moore Counselor 3205 Freedom Dr, Charlotte, NC 28208 2015-11-13
1205224540 Phadality Home Care Home Health 201 S Hoskins Rd., Suite 119, Charlotte, NC 28208 2015-01-08
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962026534 Francis Xavier Parr IIi Optometrist 7711 Arboretum Dr Apt 204, Charlotte, NC 28270-0016 2020-05-29
1992353825 National Vision Inc Optometrist 14141 Steele Creek Rd Ste 400, Charlotte, NC 28273-4231 2019-09-04
1710535778 Spencer Elise Moore Optometrist 100 N Tryon St Ste 280, Charlotte, NC 28202-4004 2019-09-03
1134773534 Shannon Kirchmer Optometrist 4407 Mountain Cove Dr, Charlotte, NC 28216-7787 2019-07-25
1295387637 Excel Eyecare Od Pa Optometrist 14154 Steele Creek Rd, Ste 200, Charlotte, NC 28273 2019-07-16
1679042741 Sapounas Optometry Services, LLC Optometrist 4704 South Blvd Ste A, Charlotte, NC 28217-2745 2018-11-19
1376012534 Jannifer Shin Optometrist 7615 Colony Rd Ste 105, Charlotte, NC 28226-5018 2018-11-17
1265927040 Ryan Wirkus Optometrist 7808 S Tryon St Ste D, Charlotte, NC 28273-4299 2018-06-25
1427570639 Caroline Kaleel Fogleman Optometrist 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 2017-07-10
1629522883 Yesha Gami Optometrist 3506 W Tyvola Rd Fl 3, Charlotte, NC 28208-7201 2016-08-05
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Competitor

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City CHARLOTTE
Zip Code 28208

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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