Provider Demographics
NPI:1720190333
Name:CATCHATOORIAN, SARIT G (OD)
Entity Type:Individual
Prefix:DR
First Name:SARIT
Middle Name:G
Last Name:CATCHATOORIAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:15235 JOHN J DELANEY DR
Mailing Address - Street 2:STE H
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-2959
Mailing Address - Country:US
Mailing Address - Phone:704-752-1744
Mailing Address - Fax:704-752-1844
Practice Address - Street 1:15235 JOHN J DELANEY DR
Practice Address - Street 2:STE H
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-2959
Practice Address - Country:US
Practice Address - Phone:704-752-1744
Practice Address - Fax:704-752-1844
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2017-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC1539152WC0802X, 152WP0200X, 152WS0006X, 152WV0400X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
No152WS0006XEye and Vision Services ProvidersOptometristSports Vision
No152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0905KOtherBCBSNC
NC890905KMedicaid
NC0905KOtherBCBSNC
NCU58433Medicare UPIN