| Charlotte Optometric Clinic, Pa | |
|
9425 South Blvd Ste A, Charlotte, NC 28273-6900 | |
| (704) 341-7676 | |
| (704) 370-9751 |
| Full Name | Charlotte Optometric Clinic, Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 9425 South Blvd Ste A, Charlotte, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699956227 | NPI | - | NPPES |
| 890920G | Medicaid | NC | |
| 5918202 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1393 (North Carolina) | Primary |
| Provider Name | Masherrill F Koonce |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881647147 PECOS PAC ID: 2860642709 Enrollment ID: I20121030000390 |
| Mailing Address | Practice Location Address |
|---|---|
| Charlotte Optometric Clinic, Pa 9425 South Blvd Ste A, Charlotte, NC 28273-6900 Ph: (704) 341-7676 | Charlotte Optometric Clinic, Pa 9425 South Blvd Ste A, Charlotte, NC 28273-6900 Ph: (704) 341-7676 |
Healthdrive Eye Care Group Optometrist Medicare: Medicare Enrolled Practice Location: 5960 Fairview Rd Ste 300, Charlotte, NC 28210 Phone: 888-964-6681 Fax: 888-662-0859 | |
Dr. Shemeeka L Mcfadden, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5330b South Blvd, Charlotte, NC 28217 Phone: 704-525-9802 Fax: 704-523-2862 | |
Dr. Nicolotte Zawilinski, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3061 N. Sharon Amity Rd., Suite A, Charlotte, NC 28205 Phone: 704-567-6755 | |
Spectrum Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 200 S College St Ste 307, Charlotte, NC 28202 Phone: 704-334-4444 Fax: 704-334-4441 | |
Insightful Eye Care, Doctors Of Optometry, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 4456 Randolph Rd, Charlotte, NC 28211 Phone: 704-365-6477 | |
Mrs. Stacy Levinson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7808 S Tryon St, Charlotte, NC 28273 Phone: 704-522-8000 | |
Paul Emmet Marvin, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 135 S Sharon Amity Rd, Suite 100, Charlotte, NC 28211 Phone: 704-365-0555 Fax: 704-367-8124 |