MEDICARE: CARLA MATTHEWS

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
1	156FX1800X	Optician	2128	NC

General Provider Information

NPI Number	:	1598691370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLA MATTHEWS

Provider Business Mailing Address
First Line	:	2208 OLDENBURG LN
Second Line	:
City	:	HOPE MILLS
State	:	NC
Zip	:	28348-2996
Country	:	US
Telephone Number	:	910-331-8576
Fax Number	:

Provider Business Practice Location Address
First Line	:	2208 OLDENBURG LN
Second Line	:
City	:	HOPE MILLS
State	:	NC
Zip	:	28348-2996
Country	:	US
Telephone Number	:	910-331-8576
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2026
Last Update Date	:	06/20/2026

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Directions to “ CARLA MATTHEWS ” Practice Location

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