CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA
NPI 1396930442
Ophthalmology in Pineville, NC

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

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

Active since September 12, 2007CLIA 34D0900427 · Waiver

10405 CENTRUM PKWY, PINEVILLE, NC 28134(704) 295-3650(704) 295-3666 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2025, Apr 3, 2025, Apr 28, 2022 (3 updates tracked since 2022).

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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 1396930442) is a healthcare organization registered as an ophthalmology in Pineville, North Carolina and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through April 26, 2027 and lists Jag S Gill, Ceo, as its authorized official.

NPPES Registry Identity

NPI1396930442

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameCHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA

Location Address10405 CENTRUM PKWYPineville, NC 28134-8825

Mailing Address6035 Fairview RdCharlotte, NC 28210-3256 · (704) 295-3000 · Fax (704) 838-8494

Phone(704) 295-3650

Fax(704) 295-3666

Organization SubpartNo

Authorized OfficialJag S GillCeo · (704) 295-3000

Enumeration DateSeptember 12, 2007

Last NPPES UpdateApril 8, 20253 updates tracked since enumeration

NPPES CertifiedApril 8, 2025

✔ NPI 1396930442 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

10405 CENTRUM PKWY, Pineville, NC 28134

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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 34D0900427

Charlotte Eye Ear Nose & Throat Associates PA · Pineville, NC

Active · expires Apr 26, 2027

CLIA Number34D0900427

Laboratory TypePhysician Office

Certificate Effective DateApril 27, 2025

Certificate Expiration DateApril 26, 2027

Laboratory DirectorStephen B. Clyne

Laboratory Phone(704) 358-4200

Laboratory LocationCharlotte Eye Ear Nose & Throat Associates PA1045 Centrum Parkway, Pineville, NC 28134

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. LEE ANGELO WILEY

Ophthalmology

10405 CENTRUM PKWY
PINEVILLE, NC 28134

Mecklenburg County (704) 295-3650

ALEXANDRA PIETRASZKIEWICZ MD

Ophthalmology

10405 CENTRUM PKWY
PINEVILLE, NC 28134

Mecklenburg County (704) 295-3650

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 1396930442. It was assigned to this organization in the NPPES registry on September 12, 2007.

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

Charlotte Eye Ear Nose & Throat Associates, PA is located at 10405 Centrum Pkwy, Pineville, NC 28134. The listed phone number is (704) 295-3650.

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 34D0900427) is associated with this NPI, valid through April 26, 2027. 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 April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.