CHARLOTTE SITE OD PA (NPI# 1891871299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891871299 |
| Entity Type | Organization |
| Organization Name | CHARLOTTE SITE OD PA |
| Practice Address |
2406 W Roosevelt Blvd Monroe NC 28110-8430 |
| Mailing Address |
120 E Phifer Street Monroe NC 28110-3035 |
| Practice Telephone | 7042832179 |
| Practice Fax Number | 7042838314 |
| Mailing Telephone | 7042832179 |
| Mailing Fax Number | 7042838314 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SUE W AYCOCK (SECRETARY) |
| Authorized Official Telephone | 7042832179 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1534 | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890901A | 05 |
| Street Address |
2406 W ROOSEVELT BLVD |
| City | MONROE |
| State | NC |
| Zip Code | 28110-8430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043267214 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 2406 W Roosevelt Blvd, Monroe, NC 28110-8430 | 2006-05-31 |
| 1255717591 | Mark Turcotte II | Pharmacist | 2406 W Roosevelt Blvd, Monroe, NC 28110-8430 | 2015-08-10 |
| 1679987739 | Shaun Key | Pharmacist | 2406 W Roosevelt Blvd, Monroe, NC 28110-8430 | 2014-06-17 |
| 1699189175 | Mika Purser | Pharmacist | 2406 W Roosevelt Blvd, Monroe, NC 28110-8430 | 2014-06-12 |
| 1568748572 | Ali Khoshnevis O.d. Pllc | Optometrist | 2406 W Roosevelt Blvd, Monroe, NC 28110-8430 | 2011-10-24 |
| 1184855561 | Julie Hutchinson Mcginnis | Optometrist | 2406 W Roosevelt Blvd, Monroe, NC 28110-8430 | 2009-08-03 |
| 1669621553 | Marcie Lyn Koontz | Optometrist | 2406 W Roosevelt Blvd, The Vision Center, Monroe, NC 28110-8430 | 2008-09-16 |
| 1346267580 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2406 W Roosevelt Blvd, Monroe, NC 28110-8430 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164987996 | Austin Drugs, Inc | Pharmacy | 3513 Suite B Highway 74 E, Monroe, NC 28110 | 2019-02-06 |
| 1366922353 | First Choice Supply, Inc | Clinic/Center | 2909 Waycross Dr, Monroe, NC 28110 | 2018-08-19 |
| 1235616491 | Joshua Gibbons | Physical Therapist | 1999 Wellness Blvd., Suite 220, Monroe, NC 28110 | 2018-07-20 |
| 1508356940 | Latoya I Sheppard | Prosthetist | 1643 Hilton Meadow Dr, Monroe, NC 28110 | 2018-05-11 |
| 1598266546 | Healthstat Onsite Clinic Conmet Monroe 1 | Preventive Medicine | 780 Patterson Avenue, Monroe, NC 28110 | 2018-02-26 |
| 1801397864 | Healthstat Onsite Con Met Monroe 2 | Preventive Medicine | 4515 Corporate Center Drive, Monroe, NC 28110 | 2018-02-26 |
| 1366969834 | Megan Thomas | Nurse Practitioner | 5708 Concord Hwy, Monroe, NC 28110 | 2017-08-25 |
| 1619385168 | Dillon Byrum | Specialist/Technologist | 28110 Eagle View Lane, Monroe, NC 28110 | 2014-07-29 |
| 1932545266 | Shane Markey | Dentist | 2258 W. Roosevelt Blvd, Suite A Dentistry of The Carolinas, Monroe, NC 28110 | 2013-05-14 |
| 1952648644 | Rolanda Johnson Abney | Social Worker | 2661 W Roosevelt Blvd Ste 107, Monroe, NC 28110 | 2013-01-15 |
| Find all providers in zip 28110 | ||||
| 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 |
|---|---|---|---|---|
| 1881178234 | Kasayla Fe Kuzmic | Optometrist | 1253 N Raisinville Rd, Monroe, MI 48162-9666 | 2018-09-21 |
| 1639606700 | Ashley M O'dwyer | Optometrist | 750 Stewart Rd Ste 2, Monroe, MI 48162-4279 | 2017-05-18 |
| 1104219039 | Stateline Vision Center LLC | Optometrist | 250 N 18th Ave Ste 105, Monroe, WI 53566-1482 | 2015-03-17 |
| 1235539255 | Envision Eye Care Inc | Optometrist | 1 Preshburg Blvd, Unit 001, Monroe, NY 10950 | 2014-08-27 |
| 1700207511 | Sita Patel | Optometrist | 1007 Skyway Dr Ste A, Monroe, NC 28110-3051 | 2013-12-20 |
| 1740541796 | Whitney Presto White | Optometrist | 907 Regents Park Dr, Monroe, MI 48161-9761 | 2012-06-06 |
| 1386811404 | Idaho Falls Vision Center Chartered | Optometrist | 20231 209th Ave Se, Monroe, WA 98272-9371 | 2008-05-08 |
| 1700059656 | Dr. Michael J. Haynes A Professional Corporation | Optometrist | 2808 Forsythe Avenue, Monroe, LA 71201-3008 | 2008-04-10 |
| 1609065077 | Jason B Berkebile | Optometrist | 1976 Wellness Blvd, Monroe, NC 28110 | 2007-10-22 |
| 1871788562 | P-cor, LLC | Optometrist | 504 N Telegraph Rd, Monroe, MI 48162 | 2007-09-06 |
| Find all providers in MONROE | ||||
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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.