Charlotte Eye Ear Nose & Throat Associates, P.A.

LBN: Charlotte Eye Ear Nose & Throat Associates, P.A.
Charlotte Eye Ear Nose & Throat Associates, P.A. is an health care organization with primary practice located at 6035 Fairview Rd , Charlotte NC 28210-3256. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Charlotte Eye Ear Nose & Throat Associates, P.A. can be contacted via phone (704) 295-3000, or through Gill, Jag S via phone (704) 295-3400.

Contact Information

Primary practice address
6035 Fairview Rd Charlotte NC 28210-3256
Phone: (704) 295-3000
Fax: (704) 838-8494
Website:
Map and Directions
Authorized official contact:
Name: Gill, Jag S SCD
Phone: (704) 295-3400

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X

Profile Details

NPI number 1043287469
LBN Legal business name Charlotte Eye Ear Nose & Throat Associates, P.A.
DBA Doing business as
Authorized official Gill, Jag S SCD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2006
Last updated Jan 23rd, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043287469 NPPES
Other 0198T BCBS NC - ENT SPECIALTY
MEDICAID DAN990 BCBS NC - ENT SPECIALTY
Other 24226 BCBS NC - ENT SPECIALTY
Other 8381115 BCBS NC - ENT SPECIALTY
Other 545513 BCBS NC - ENT SPECIALTY
Other 3521 BCBS NC - ENT SPECIALTY
Other NC60802A BCBS NC - ENT SPECIALTY
MEDICAID E04769 BCBS NC - ENT SPECIALTY
MEDICAID 890198T BCBS NC - ENT SPECIALTY

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