Healthcare Provider Details

I. General information

NPI: 1164035366
Provider Name (Legal Business Name): BELINDA DUONG OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2020
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2125 MATTHEWS TOWNSHIP PKWY
MATTHEWS NC
28105-5766
US

IV. Provider business mailing address

300 ORSON OAKS LN
PINEVILLE NC
28134-6615
US

V. Phone/Fax

Practice location:
  • Phone: 704-321-7446
  • Fax: 704-321-7464
Mailing address:
  • Phone: 336-291-1504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2617
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: