SOUTH FORK OPTOMETRIC ASSOCIATES, P.A. - NPI 1619366507

Q: What is South Fork Optometric Associates, P.A.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

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About South Fork Optometric Associates, P.a. NPPES

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

SOUTH FORK OPTOMETRIC ASSOCIATES, P.A. (NPI 1619366507) is a healthcare organization registered as an optometrist in Charlotte, North Carolina and active in the NPI registry since January 2015. The organization lists Joseph Faulk, President, as its authorized official.

NPPES Registry Identity

NPI1619366507

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameSOUTH FORK OPTOMETRIC ASSOCIATES, P.A.

Location Address9820 CALLABRIDGE CTCharlotte, NC 28216-7669

Mailing Address307 Ethan LnBelmont, NC 28012-4116

Phone(704) 394-3886

Organization SubpartNo

Authorized OfficialJoseph FaulkPresident · (704) 394-3886

Enumeration DateJanuary 14, 2015

✔ NPI 1619366507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in NC · 2328✔ Licensed in NC · 2255

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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

9820 CALLABRIDGE CT, Charlotte, NC 28216

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Other Identifiers 6

Other17174NC · Avesis

Other02917NC · Davis

OtherA16758NC · Eyemed

Other0938GNC · Bcbs

OtherA12474NC · Eyemed

Other1741XNC · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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.

JANA NEUMANN MINCHEW

Pharmacist