Vision Source Studio 20/20 | |
2424 W Mallard Creek Church Rd, Ste D, Charlotte, NC 28262-5800 | |
(704) 295-0123 | |
(704) 510-9239 |
Full Name | Vision Source Studio 20/20 |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 2424 W Mallard Creek Church Rd, 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 |
---|---|---|---|
1700970423 | NPI | - | NPPES |
017GH | Other | NC | BLUE CROSS BLUE SHIELD |
1346242781 | Other | NC | NPI |
89093JG | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1714 (North Carolina) | Primary |
Provider Name | Amir Khoshnevis |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1346242781 PECOS PAC ID: 8224107693 Enrollment ID: I20080527000599 |
Provider Name | David Eugene Lupinski |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1720089758 PECOS PAC ID: 6608773783 Enrollment ID: I20080529000848 |
Provider Name | Catherine Daluyin |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1174145874 PECOS PAC ID: 9739500430 Enrollment ID: I20210817003670 |
Mailing Address | Practice Location Address |
---|---|
Vision Source Studio 20/20 2424 W Mallard Creek Church Rd, Ste D, Charlotte, NC 28262-5800 Ph: (704) 295-0123 | Vision Source Studio 20/20 2424 W Mallard Creek Church Rd, Ste D, Charlotte, NC 28262-5800 Ph: (704) 295-0123 |
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 |