Provider Demographics
NPI:1093988495
Name:DR. JEFFREY I. MUSLER & ASSOCIATES, OPTOMETRY GROUP, PA
Entity Type:Organization
Organization Name:DR. JEFFREY I. MUSLER & ASSOCIATES, OPTOMETRY GROUP, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:IVAN
Authorized Official - Last Name:MUSLER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:704-806-3336
Mailing Address - Street 1:4400 SHARON RD STE A34
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-3531
Mailing Address - Country:US
Mailing Address - Phone:704-364-7982
Mailing Address - Fax:704-541-7984
Practice Address - Street 1:4400 SHARON RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211
Practice Address - Country:US
Practice Address - Phone:704-364-7982
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-07
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1265152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNC1265OtherEYEMED VISION CARE
NC40270OtherAVESIS
NC0964AOtherBCBS
NCNC1265OtherEYEMED VISION CARE
NC2470243Medicare PIN