Carpenter Eye Associates Od, Pllc | |
8429 Pineville Matthews Rd Charlotte NC 28226-4704 | |
(704) 542-0501 | |
(704) 542-4733 |
Full Name | Carpenter Eye Associates Od, Pllc |
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Speciality | Clinic/Center |
Location | 8429 Pineville Matthews Rd, Charlotte, North Carolina |
Authorized Official Name and Position | Matthew Blane Carpenter (OWNER/MANAGER) |
Authorized Official Contact | 7045420501 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Carpenter Eye Associates Od, Pllc 8429 Pineville Matthews Rd Charlotte NC 28226-4704 Ph: (704) 542-0501 | Carpenter Eye Associates Od, Pllc 8429 Pineville Matthews Rd Charlotte NC 28226-4704 Ph: (704) 542-0501 |
NPI Number | 1710157912 |
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Provider Enumeration Date | 03/04/2008 |
Last Update Date | 03/04/2008 |
Medicare PECOS PAC ID | 7113005497 |
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Medicare Enrollment ID | O20080428000336 |
Identifier | Type | State | Issuer |
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1710157912 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 1179 (North Carolina) | Primary |
Provider Name | Deborah A Black-carpenter |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1821061565 PECOS PAC ID: 5294797593 Enrollment ID: I20041029000167 |
Provider Name | Matthew B Carpenter |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1336107747 PECOS PAC ID: 3678651957 Enrollment ID: I20080428000331 |
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