Healthcare Provider Details
I. General information
NPI: 1780484766
Provider Name (Legal Business Name): HEALTHDRIVE OPTOMETRY GROUP OF N.C., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/18/2025
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5960 FAIRVIEW RD STE 300
CHARLOTTE NC
28210-0202
US
IV. Provider business mailing address
100 CROSSING BLVD STE 300
FRAMINGHAM MA
01702-5555
US
V. Phone/Fax
- Phone: 888-964-6681
- Fax: 888-662-0859
- Phone: 617-964-6681
- Fax: 339-686-2561
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SARIT
CATCHATOORIAN
Title or Position: PRESIDENT
Credential: OD
Phone: 857-255-0486