MEDICARE: DR. PAMELA CATHY PRICE 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	152WC0802X	Corneal and Contact Management Optometrist	970	NC
2	152W00000X	Optometrist	0970	NC

General Provider Information

NPI Number	:	1861525057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAMELA CATHY PRICE O.D.

Provider Business Mailing Address
First Line	:	7749 MATTHEWS MINT HILL RD
Second Line	:
City	:	MINT HILL
State	:	NC
Zip	:	28227-7598
Country	:	US
Telephone Number	:	704-545-9797
Fax Number	:	704-545-3111

Provider Business Practice Location Address
First Line	:	7749 MATTHEWS MINT HILL RD
Second Line	:
City	:	MINT HILL
State	:	NC
Zip	:	28227-7598
Country	:	US
Telephone Number	:	704-545-9797
Fax Number	:	704-545-3111

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

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	11/29/2017

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