CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA - NPI 1447445036

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.

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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 1447445036) is a healthcare organization registered as an ophthalmology in Monroe, North Carolina and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through January 21, 2028 and lists Jag S Gill, Ceo, as its authorized official.

NPPES Registry Identity

NPI1447445036

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameCHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA

Location Address1632 E ROOSEVELT BLVDMonroe, NC 28112-4017

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

Phone(704) 295-3725

Fax(704) 838-8494

Organization SubpartNo

Authorized OfficialJag S GillCeo · (704) 295-3000

Enumeration DateSeptember 7, 2007

Last NPPES UpdateApril 30, 2013

✔ NPI 1447445036 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

1632 E ROOSEVELT BLVD, Monroe, NC 28112

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Other Identifiers 1

Medicare NSC0264730010NC

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 34D0939210

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

Active · expires Jan 21, 2028

CLIA Number34D0939210

Laboratory TypePhysician Office

Certificate Effective DateJanuary 22, 2026

Certificate Expiration DateJanuary 21, 2028

Laboratory DirectorJustin C. Brown

Laboratory Phone(704) 289-4830

Laboratory LocationCharlotte Eye Ear Nose & Throat Associates PA1632 East Roosevelt Boulevard, Monroe, NC 28112

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 5

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

MRS. CAROLYN FRANKS AUD, CCC-A

Audiologist