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

South Fork Optometric Associates, PA

Organization Optometrist · NPI 1619366507

South Fork Optometric Associates, PA is an Optometrist in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2015.

Licensed in
NC
In the registry since
2015
Specialties on file
2
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

9820 Callabridge Ct
Charlotte, NC 28216-7669
Phone: (704) 394-3886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2328 (NC)
Optometrist Taxonomy 152W00000X · Licence 2255 (NC)

Record details

NPI number1619366507
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Faulk — President · (704) 394-3886
NPI enumeratedJanuary 14, 2015
Last updated in NPPESJanuary 14, 2015
Mailing address307 Ethan Ln, Belmont, NC 28012-4116

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