Healthcare Provider Details

I. General information

NPI: 1861525057
Provider Name (Legal Business Name): PAMELA CATHY PRICE O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 11/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7749 MATTHEWS MINT HILL RD
MINT HILL NC
28227-7598
US

IV. Provider business mailing address

7749 MATTHEWS MINT HILL RD
MINT HILL NC
28227-7598
US

V. Phone/Fax

Practice location:
  • Phone: 704-545-9797
  • Fax: 704-545-3111
Mailing address:
  • Phone: 704-545-9797
  • Fax: 704-545-3111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number970
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number0970
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: