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NPI Code Detail

MEDICARE: AU OPTOMETRY PLLC

MEDICARE: AU OPTOMETRY PLLC
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
1152W00000XOptometrist

General Provider Information

NPI Number : 1265078836
Entity Type Code : Organization
Provider Name (Legal Business Name) : AU OPTOMETRY PLLC
Provider Business Mailing Address
First Line : 8814 RACHEL FREEMAN WAY STE 102
Second Line :
City : CHARLOTTE
State : NC
Zip : 28278-9510
Country : US
Telephone Number : 704-733-9180
Fax Number :
Provider Business Practice Location Address
First Line : 8814 RACHEL FREEMAN WAY STE 102
Second Line :
City : CHARLOTTE
State : NC
Zip : 28278-9510
Country : US
Telephone Number : 704-733-9180
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. DAVID AU
Credential : O.D.
Telephone Number : 704-733-9180
Provider Enumeration Date : 11/19/2019
Last Update Date : 07/28/2020

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Directions to “AU OPTOMETRY PLLC ” Practice Location

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