Provider Demographics
NPI:1578281416
Name:ECKEL EYE CARE OD PLLC
Entity Type:Organization
Organization Name:ECKEL EYE CARE OD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ECKEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:704-535-9252
Mailing Address - Street 1:7148 LAWYERS RD
Mailing Address - Street 2:
Mailing Address - City:MINT HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28227-3906
Mailing Address - Country:US
Mailing Address - Phone:704-535-9252
Mailing Address - Fax:704-535-6634
Practice Address - Street 1:7148 LAWYERS RD
Practice Address - Street 2:
Practice Address - City:MINT HILL
Practice Address - State:NC
Practice Address - Zip Code:28227-3906
Practice Address - Country:US
Practice Address - Phone:704-535-9252
Practice Address - Fax:704-535-6634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-17
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty