Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charlotte Optometric Clinic, PA

Organization Optometrist · NPI 1699956227

Charlotte Optometric Clinic, PA is an Optometrist in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9425 S Blvd Ste A
Charlotte, NC 28273-6900
Phone: (704) 341-7676
Fax: (704) 370-9751
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1393 (NC)

Record details

NPI number1699956227
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Masherrill Koonce — Optometrist · (704) 341-7676
NPI enumeratedNovember 26, 2007
Last updated in NPPESNovember 21, 2023
Certification dateNovember 21, 2023
Mailing address9425 South Blvd Ste A, Charlotte, NC 28273-6900

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