DR. ROBERT L GAZDECK (NPI# 1811069859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811069859 |
| Entity Type | Individual |
| Full Name | DR. ROBERT L GAZDECK |
| Credential | OD |
| Practice Address |
3240 Wilkinson Blvd Charlotte NC 28208-5630 |
| Mailing Address |
212 Mockingbird Ln Lincolnton NC 28092-3259 |
| Practice Telephone | 7043927699 |
| Practice Fax Number | 7043921716 |
| Mailing Telephone | 7043927699 |
| Mailing Fax Number | 7043921716 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2008-05-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0978 | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8909314 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316323678 | Robert Kyle Gazdeck | Dentist | 3709 University Dr Ste D, Durham, NC 27707 | 2015-08-09 |
| Street Address |
3240 WILKINSON BLVD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28208-5630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700803947 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3240 Wilkinson Blvd, Charlotte, NC 28208-5630 | 2006-07-16 |
| 1164963021 | Ryan Smith | Pharmacist | 3240 Wilkinson Blvd, Charlotte, NC 28208-5630 | 2017-03-12 |
| 1134665185 | Mihreteab Tewolde | Pharmacist | 3240 Wilkinson Blvd, Charlotte, NC 28208-5630 | 2017-01-15 |
| 1417364571 | Tyrsa Creel | Pharmacist | 3240 Wilkinson Blvd, Charlotte, NC 28208-5630 | 2014-07-21 |
| 1598179566 | Kruti Parikh | Pharmacist | 3240 Wilkinson Blvd, Charlotte, NC 28208-5630 | 2014-06-17 |
| 1568543122 | Wal-mart Stores East, Lp | Technician/Technologist | 3240 Wilkinson Blvd, Charlotte, NC 28208-5630 | 2006-10-18 |
| 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 |
| Find all providers in zip 28208 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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] |
| 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 |
| Find all providers in CHARLOTTE | ||||
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| 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.