| NPI Details | |
|---|---|
| NPI | 1336415579 |
| Enumeration Date | 03/30/2012 |
| Last Updated | 03/30/2012 |
| Entity Type | Healthcare Provider |
| Active | Over 6 years ago |
| Authorized Information | |
|---|---|
| Name | YVONNE T YVONNE |
| Position | OPTOMETRIST |
| Phone | (704) 553-2020 |
| Fax | |
| Practice Location | |
|---|---|
| 1433 EMERYWOOD DR SUITE C CHARLOTTE NC, 28210-4105, US |
|
| Phone | (704) 553-2020 |
| Fax | |
| Business Location | |
|---|---|
| 1433 EMERYWOOD DR SUITE C CHARLOTTE NC, 28210-4105, US |
|
| Phone | (704) 553-2020 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 152W00000X |
| License State | North Carolina |
| License Number | NC1355 |
| Remove 1336415579 NPI Number | |
According to our database, Yvonne T. Shook O.d.p.a. NPI is 1336415579, taxonomy code is 152W00000X and license number is NC1355, license state is located at North Carolina. Yvonne T. Shook O.d.p.a. physically located at 1433 Emerywood Dr, Charlotte NC, 28210-4105. NPI Number 1033115704 has the healthcare provider type.
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1336415579 NPI number is provided on an as is basis without warranty of any kind. 1336415579 is maintained by the National Plan & Provider Enumeration System. The contents of Yvonne T. Shook O.d.p.a. are for informational purposes only.
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