Provider Demographics
NPI:1972868420
Name:ADVANCE EYECARE ASSOCIATES, O.D., P.A.
Entity Type:Organization
Organization Name:ADVANCE EYECARE ASSOCIATES, O.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SARIT
Authorized Official - Middle Name:G
Authorized Official - Last Name:CATCHATOORIAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:704-752-1744
Mailing Address - Street 1:15235 JOHN J DELANEY DR STE H
Mailing Address - Street 2:
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 STE H
Practice Address - Street 2:
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-11
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Multi-Specialty
No152WP0200XEye and Vision Services ProvidersOptometristPediatricsGroup - Multi-Specialty
No152WS0006XEye and Vision Services ProvidersOptometristSports VisionGroup - Multi-Specialty
No152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Multi-Specialty