Healthcare Provider Details

I. General information

NPI: 1487624425
Provider Name (Legal Business Name): EYEBRIDGE CONSULTING ASSOCIATES ODPA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 01/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 W CHURCH ST
CHERRYVILLE NC
28021-2805
US

IV. Provider business mailing address

102 HIDDEN PASTURES DR STE 207
CRAMERTON NC
28032-1698
US

V. Phone/Fax

Practice location:
  • Phone: 704-425-2020
  • Fax: 704-435-5267
Mailing address:
  • Phone: 704-616-8262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANN M HOSCHEIT
Title or Position: OWNER
Credential: OD
Phone: 704-616-8262