Healthcare Provider Details

I. General information

NPI: 1568422392
Provider Name (Legal Business Name): STEVEN HOWARD EYLER O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 07/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8316 MEDICAL PLAZA DR STE E
CHARLOTTE NC
28262-6704
US

IV. Provider business mailing address

8316 MEDICAL PLAZA DR STE E
CHARLOTTE NC
28262-6704
US

V. Phone/Fax

Practice location:
  • Phone: 704-547-1551
  • Fax:
Mailing address:
  • Phone: 704-547-1551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number0954
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: