Black Optometric Eye Associates,pa

NPI #1073788923 in Matthews, North Carolina

Provider Information

NPI Number: 1073788923
Entity Type: Organization
Organization Name: Black Optometric Eye Associates,pa
Primary Specialty: Optometrist
Enumeration Date: Apr 22, 2008
Last Updated: Feb 21, 2010

Practice Location

Address: 518 W JOHN ST
City: Matthews
State: North Carolina
ZIP Code: 28105-5353
Phone: (704) 847-9833

Authorized Official

Name: DR. DEBORAH BLACK, O.D.
Title: PRESIDENT/OWNER
Phone: (704) 847-9833

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Optometrist	152W00000X	Primary

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