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

Providence Eye and Laser Specialists, PC

Organization Optometrist · NPI 1154367217

Providence Eye and Laser Specialists, PC 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?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3025 Springbank Ln Ste 200
Charlotte, NC 28226-3362
Phone: (704) 540-9595
Fax: (704) 540-9616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2000-00102 (NC)

Record details

NPI number1154367217
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rey Wilson — Office Manager · (704) 540-9595
NPI enumeratedJune 20, 2006
Last updated in NPPESOctober 16, 2012
Mailing address3025 Springbank Ln, Suite 200, Charlotte, NC 28226-3362

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