MEDICARE: DR. CHARLES NUNEZ O.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
1	152W00000X	Optometrist	OPT003571	GA

General Provider Information

NPI Number	:	1801154760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES NUNEZ O.D.

Provider Business Mailing Address
First Line	:	1780 PEACHTREE PKWY STE 301
Second Line	:
City	:	CUMMING
State	:	GA
Zip	:	30041-6834
Country	:	US
Telephone Number	:	770-205-2520
Fax Number	:	770-456-5994

Provider Business Practice Location Address
First Line	:	1780 PEACHTREE PKWY STE 301
Second Line	:
City	:	CUMMING
State	:	GA
Zip	:	30041-6834
Country	:	US
Telephone Number	:	770-205-2520
Fax Number	:	770-456-5994

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

Provider Enumeration Date	:	04/30/2012
Last Update Date	:	02/09/2026

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