National Provider Identifier Database

BLACK OPTOMETRIC EYE ASSOCIATESPA
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.


Contact Information

BLACK OPTOMETRIC EYE ASSOCIATES,PA
518 W JOHN ST
MATTHEWS, NC28105-5353
Phone: 704-847-9833
Fax:
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for BLACK OPTOMETRIC EYE ASSOCIATES,PA

NPI Number 1073788923
Legal business name
LBN
BLACK OPTOMETRIC EYE ASSOCIATES,PA
Authorized official DEBORAH BLACK - (PRESIDENT/OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/22/2008
Last updated 02/21/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: 1176
  • NC Medicaid: 8909106

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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