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General NPI Number Information
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NPI Number | 1952655771
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Entity Type | Organization
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Legal Business Name | COURTNEY DRYER OD PLLC
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Dates
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Enumeration Date | 10/31/2012
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 1600 E WOODLAWN RD STE 362
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City | CHARLOTTE
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State | NC
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Zip | 28209-2276
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Country | US
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Telephone | 704-208-4548
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 E WOODLAWN RD STE 362
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City | CHARLOTTE
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State | NC
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Zip | 28209-2276
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Country | US
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Telephone | 704-208-4548
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. COURTNEY DRYERCOURTNEYD
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Credential | O.D.
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Telephone | 704-208-4548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2236
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License Number State | NC
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