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NPI Code Detail

MEDICARE: DR. ENRIQUE EDUARDO CALDERON M.D.

MEDICARE: DR. ENRIQUE EDUARDO CALDERON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician2017-02306NC

General Provider Information

NPI Number : 1174857429
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ENRIQUE EDUARDO CALDERON M.D.
Provider Business Mailing Address
First Line : PO BOX 3445
Second Line :
City : HICKORY
State : NC
Zip : 28603-3445
Country : US
Telephone Number : 828-322-2050
Fax Number : 828-345-0522
Provider Business Practice Location Address
First Line : 4101 CAMPUS RIDGE RD
Second Line :
City : MATTHEWS
State : NC
Zip : 28105-5077
Country : US
Telephone Number : 704-234-1930
Fax Number : 704-234-1940
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2009
Last Update Date : 03/10/2026

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