Audrey Lake House in Charlotte - Optometrist
Audrey Lake House - NPI 1568518116
Audrey Lake House is a Optometrist in Charlotte, North Carolina. Audrey Lake House practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Audrey Lake House is 1568518116. The last update date is 2009-02-06.
Audrey Lake House's current location address is 7745 Ballantyne Commons Pkwy, Charlotte, North Carolina. You can contact this provider via phone number 7048413937 and fax number 7048413964. The mailing address for Audrey Lake House is 7745 Ballantyne Commons Pkwy, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Audrey Lake House |
|---|---|
| Address | 7745 Ballantyne Commons Pkwy, Charlotte, North Carolina |
| Phone Number | 7048413937 |
| Fax Number | 7048413964 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1568518116 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2009-02-06 |
Provider Mailing Address Detail
| Address | 7745 Ballantyne Commons Pkwy |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282772442 |
| Phone Number | 7048413937 |
| Fax Number | 7048413964 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1260 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 093HT | NC | BCBS | |
| 5415 | NC | SPECTERA | |
| 28916 | NC | COMMUNITY EYE CARE |
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What is the unique provider identifier assigned to Audrey Lake House?
The Audrey Lake House has been issued the NPI (National Provider Identifier) 1568518116 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Audrey Lake House located?
The Audrey Lake House is located at 7745 Ballantyne Commons Pkwy, Charlotte, NC 282772442.
What is the Audrey Lake House's area of specialization and corresponding taxonomy classification?
The Audrey Lake House's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Audrey Lake House receive its 1568518116 assignment from the Centers for Medicare & Medicaid Services?
The Audrey Lake House was assigned its 1568518116 by the Centers for Medicare & Medicaid Services on 2007-01-26.
When was the information pertaining to Audrey Lake House most recently updated or revised?
The details related to Audrey Lake House, including its address, specialty, and other relevant information, were last updated or revised on 2009-02-06.
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