MEDICARE: CHARLES BRIAN JAY OD

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	152W00000X	Optometrist	2528	NC

General Provider Information

NPI Number	:	1659860187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES BRIAN JAY OD

Provider Business Mailing Address
First Line	:	225 E LEE AVE
Second Line	:
City	:	YADKINVILLE
State	:	NC
Zip	:	27055-8227
Country	:	US
Telephone Number	:	336-679-2931
Fax Number	:	336-677-6486

Provider Business Practice Location Address
First Line	:	225 E LEE AVE
Second Line	:
City	:	YADKINVILLE
State	:	NC
Zip	:	27055-8227
Country	:	US
Telephone Number	:	336-679-2931
Fax Number	:	336-677-6486

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

Provider Enumeration Date	:	05/10/2018
Last Update Date	:	06/25/2020

Similar Medicare Providers

1790485100 — ANDREW HUMISTON OD
Practice Location Address:

225 E LEE AVE
YADKINVILLE, NC
27055-8227

Practice Phone: 336-679-2931
Practice Fax:

1487807616 — YADKIN VISION CENTER O.D., PLLC
Practice Location Address:

225 E LEE AVE
YADKINVILLE, NC
27055-8227

Practice Phone: 336-679-2931
Practice Fax: 336-677-6486

1346183225 — NICOLAS DALTON RHODES M.S., SLP
Practice Location Address:

901 W MAIN ST
YADKINVILLE, NC
27055-7807

Practice Phone: 855-983-0488
Practice Fax:

1740282367 — NEW HORIZONS HOME CARE, INC
Practice Location Address:

648 CAROLINA AVE
YADKINVILLE, NC
27055-7759

Practice Phone: 336-677-3843
Practice Fax: 336-677-3847

1437142775 — AEGIS FAMILY HEALTH CENTERS INC
Practice Location Address:

624 W MAIN ST
YADKINVILLE, NC
27055-7804

Practice Phone: 336-679-6700
Practice Fax: 336-679-6733

1417940552 — DR. GAIL C GORDON O.D.
Practice Location Address:

225 E LEE AVE
YADKINVILLE, NC
27055

Practice Phone: 336-679-2931
Practice Fax: 336-677-6486

Directions to “ CHARLES BRIAN JAY OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.