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CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA
NPI 1447445010
Ophthalmology in Charlotte, NC

Active since September 07, 2007CLIA 34D1063545 · Waiver
5933 BLAKENEY PARK DR, SUITE 200, CHARLOTTE, NC 28277(704) 295-3000(704) 838-8494 Get Directions Write a Review

NPPES record last updated: April 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 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 1447445010) is a healthcare organization registered as an ophthalmology in Charlotte, North Carolina and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through March 15, 2027 and lists Jag S Gill, Ceo, as its authorized official.

NPPES Registry Identity

NPI1447445010
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameCHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA
Location Address5933 BLAKENEY PARK DR, SUITE 200Charlotte, NC 28277-5713
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 7, 2007
Last NPPES UpdateApril 30, 2013
✔ NPI 1447445010 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
5933 BLAKENEY PARK DR, Charlotte, NC 28277
Open in Google Maps ↗

Other Identifiers 1

Medicare NSC0264730009NC

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 34D1063545

Charlotte Eye Ear Nose & Throat Associates, PA - Blakeney · Charlotte, NC
Active · expires Mar 15, 2027
CLIA Number34D1063545
Laboratory TypePhysician Office
Certificate Effective DateMarch 16, 2025
Certificate Expiration DateMarch 15, 2027
Laboratory DirectorSajeev K. Puri
Laboratory Phone(704) 295-3390
Laboratory LocationCharlotte Eye Ear Nose & Throat Associates, PA - Blakeney5933 Blakeney Park Drive Suite 200, Charlotte, NC 28277
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

MRS. SARAH NALL MORRIS M.D.
Obstetrics & Gynecology
5933 BLAKENEY PARK DR, SUITE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 316-2021
NOVANT MEDICAL GROUP, INC.
Obstetrics & Gynecology (Gynecology)
5933 BLAKENEY PARK DR, STE 101
CHARLOTTE, NC 28277
Mecklenburg County (704) 316-2061
DR. KELLY E MEEK M.D.
Obstetrics & Gynecology
5933 BLAKENEY PARK DR, SUITE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 321-1077
DR. JOSHUA D LEVINE M.D.
Otolaryngology
5933 BLAKENEY PARK DR, SUITE 200
CHARLOTTE, NC 28277
Mecklenburg County (704) 295-3311
NOVANT HEALTH MEDICAL GROUP, LLC
Obstetrics & Gynecology
5933 BLAKENEY PARK DR, SUITE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 316-2021
MRS. TINA JEAN HAYES CNM
Advanced Practice Midwife
5933 BLAKENEY PARK DR, SUITE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 316-2021
MRS. SHARROL ELIZABETH BARNES M.D.
Obstetrics & Gynecology
5933 BLAKENEY PARK DR, SUITE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 316-2021
NOVANT MEDICAL GROUP INC
Plastic Surgery
5933 BLAKENEY PARK DR, SUITE 101
CHARLOTTE, NC 28277
Mecklenburg County (704) 444-5800

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 1447445010. It was assigned to this organization in the NPPES registry on September 7, 2007.

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

Charlotte Eye Ear Nose & Throat Associates, PA is located at 5933 Blakeney Park Dr Suite 200, Charlotte, NC 28277. 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 34D1063545) is associated with this NPI, valid through March 15, 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 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.