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

Charlotte Optometry Group PA

Organization Optometrist · NPI 1295829380

Charlotte Optometry Group PA is an Optometrist in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
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

8701 Jw Clay Blvd
Charlotte, NC 28262-5417
Phone: (704) 510-0816
Fax: (704) 510-0919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1458 (NC)

Record details

NPI number1295829380
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Johnson — Vice President · (704) 510-0816
NPI enumeratedOctober 3, 2006
Last updated in NPPESAugust 22, 2020
Mailing address8701 Jw Clay Blvd, Charlotte, NC 28262-5417

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