DR. THOMAS K MUNDORF


Address: 1718 E. Fourth St., Ste 703, Charlotte, NC 28204
Phone: 7043343222

DR. THOMAS K MUNDORF (NPI# 1821026980) 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) 1821026980
Entity Type Individual
Full Name DR. THOMAS K MUNDORF
Credential MD
Practice Address 1718 E. Fourth St., Ste 703
Charlotte
NC 28204
Practice Telephone 7043343222
Practice Fax Number 7043341532
Mailing Telephone 7043343222
Mailing Fax Number 7043341532
Enumeration Date 2006-06-29
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 27495 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC 8961332 05
NC BLUE CROSS BLUE SHIELD 61332 01
NC 8961332 05

Other Providers THOMAS MUNDORF

NPI Name Taxonomy Address Enumeration
1083820708 Thomas William Mundorf Chiropractor 32 N Mountain Blvd, Mountain Top, PA 18707-1117 2007-05-16

Office Location

Street Address 1718 E. FOURTH ST., STE 703
City CHARLOTTE
State NC
Zip Code 28204

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1285276253 Shannon Miller Counselor 1432 E Seventh Street, Charlotte, NC 28204 2019-10-11
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1255802674 Stacey D. Alston, Dds, Pa Dentist 1020 E. 10th St., Suite 1, Charlotte, NC 28204 2018-12-11
1972082097 Kim Webb Talbert Nurse Practitioner Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 2018-08-09
1164910535 Jesse Elijah Roberts Counselor 1801 E 5th Street, #208, Charlotte, NC 28204 2018-05-01
1336696848 Eight Healthcare Exclusive Provider Organization 2455 Weddington Ave, 2110, Charlotte, NC 28204 2016-09-01
1225480551 Kathleen Quintana Bradley Physician Assistant 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 2016-07-11
1184049777 Della Franklin Speech-Language Pathologist 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 2014-02-19
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114572534 Charlotte Eye Ear Nose & Throat Associates, Pa Ophthalmology 400 E Stonewall St Unit F, Charlotte, NC 28202-3601 2019-08-02
1518351493 Lee Angelo Wiley Ophthalmology 10512 Park Rd Ste 200, Charlotte, NC 28210-8476 2015-03-27
1710271507 Charlotte Eye Ear Nose & Throat Associates, Pa Ophthalmology 2614 E 7th St, Charlotte, NC 28204-4375 2011-06-09
1760633812 Pedro Cervantes Fanning Ophthalmology 13532 Steelecroft Parkway, Charlotte, NC 28278-7545 2008-10-07
1548290562 Reza Michael Mozayeni Ophthalmology 3025 Springbank Lane, Ste 200, Charlotte, NC 28226-3362 2006-07-04
1720027543 Cleve Wilson Howard Ophthalmology 7530 Whistlestop Rd, Charlotte, NC 28210-6914 2006-06-06
1669428975 Galen Grayson Ophthalmology 817 E Morehead St, Ste 200, Charlotte, NC 28202-2700 2006-05-26
1013963719 Genesis Eye Center Ophthalmology 817 East Morehead Street, Suite 200, Charlotte, NC 28202-2767 2006-05-25
1851354724 Wesley Dobbs Clement Sr. Ophthalmology 230 E Wt Harris Blvd, Suite C-13, Charlotte, NC 28262-3492 2006-04-10
1093790131 Samuel Santander Ophthalmology 3621 Randolph Road, Suite 100, Charlotte, NC 28211 2005-12-13
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Competitor

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City CHARLOTTE
Zip Code 28204

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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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