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CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA
NPI 1114112893
Ophthalmology in Belmont, NC

Active since September 06, 2007CLIA 34D0941192 · Waiver
400 PARK ST, BELMONT, NC 28012(704) 295-3000(704) 838-8494 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charlotte Eye Ear Nose & Throat Associates, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA (NPI 1114112893) is a healthcare organization registered as an ophthalmology in Belmont, North Carolina and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through February 22, 2028 and lists Jag S Gill, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114112893
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameCHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA
Location Address400 PARK STBelmont, NC 28012-3368
Mailing Address6035 Fairview RdCharlotte, NC 28210-3256 · (704) 295-3000 · Fax (704) 838-8494
Phone(704) 295-3000
Fax(704) 838-8494
Organization SubpartNo
Authorized OfficialJag S GillCeo · (704) 295-3000
Enumeration DateSeptember 6, 2007
Last NPPES UpdateJanuary 23, 2024
NPPES CertifiedJanuary 23, 2024
✔ NPI 1114112893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOtolaryngologyTaxonomy 207Y00000X
400 PARK ST, Belmont, NC 28012
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0941192

Charlotte Eye Ear Nose & Throat Assocs PA · Belmont, NC
Active · expires Feb 22, 2028
CLIA Number34D0941192
Laboratory TypePhysician Office
Certificate Effective DateFebruary 23, 2026
Certificate Expiration DateFebruary 22, 2028
Laboratory DirectorKashyap B. Kansupada
Laboratory Phone(704) 295-3700
Laboratory LocationCharlotte Eye Ear Nose & Throat Assocs PA400 Park Street, Belmont, NC 28012
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TARESSA GILLIG HANEY M.D.
Ophthalmology
400 PARK ST
BELMONT, NC 28012
Gaston County (704) 295-3700
KENNETH C MATHYS M.D.
Ophthalmology
400 PARK ST
BELMONT, NC 28012
Gaston County (704) 295-3700
DR. CHRISTOPHER LEE TEBBIT M.D.
Otolaryngology
400 PARK ST
BELMONT, NC 28012
Gaston County (704) 295-3700
DR. KASHYAP BHARAT KANSUPADA MD
Ophthalmology
400 PARK ST
BELMONT, NC 28012
Gaston County (704) 295-3700
ELLIOT CAPERS MCKEE M.D.
Ophthalmology
400 PARK ST
BELMONT, NC 28012
Gaston County (704) 295-3700
ALEXANDRA MARIE NEUMANN FNP-C
Nurse Practitioner (Family)
400 PARK ST
BELMONT, NC 28012
Gaston County (704) 295-3700
ROBERT M. SALTZMANN MD
Ophthalmology
400 PARK ST
BELMONT, NC 28012
Gaston County (704) 295-3700
DR. KARL JURGEN KLEINAU O.D.
Optometrist
400 PARK ST
BELMONT, NC 28012
Gaston County (704) 295-3700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charlotte Eye Ear Nose & Throat Associates, PA's NPI number?

The NPI number for Charlotte Eye Ear Nose & Throat Associates, PA is 1114112893. It was assigned to this organization in the NPPES registry on September 6, 2007.

Where is Charlotte Eye Ear Nose & Throat Associates, PA located?

Charlotte Eye Ear Nose & Throat Associates, PA is located at 400 Park St, Belmont, NC 28012. The listed phone number is (704) 295-3000.

What is Charlotte Eye Ear Nose & Throat Associates, PA's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Charlotte Eye Ear Nose & Throat Associates, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0941192) is associated with this NPI, valid through February 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Charlotte Eye Ear Nose & Throat Associates, PA was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.