DR. KATHY DIANE HALVERSON (NPI# 1083669956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083669956 |
Entity Type | Individual |
Full Name | DR. KATHY DIANE HALVERSON |
Credential | OD |
Practice Address |
3506 W Tyvola Rd Charlotte NC 28208-7201 |
Mailing Address |
805 Hawthorne Ln Charlotte NC 28204-2109 |
Practice Telephone | 7043291300 |
Practice Fax Number | 7043577539 |
Mailing Telephone | 5054140592 |
Enumeration Date | 2006-05-22 |
Last Update Date | 2020-05-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 152W00000X | Optometrist | 2152 | SC | Eye and Vision Services Providers |
N | 152W00000X | Optometrist | 2194 | NC | Eye and Vision Services Providers |
Y | 152W00000X | Optometrist | 2457 | NM | Eye and Vision Services Providers |
Street Address |
3506 W TYVOLA RD |
City | CHARLOTTE |
State | NC |
Zip Code | 28208-7201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902415151 | Maris Baylor | Social Worker | 3506 W Tyvola Rd, Charlotte, NC 28208-7201 | 2020-07-23 |
1609408764 | Ashley Nicole Lee | Social Worker | 3506 W Tyvola Rd, Charlotte, NC 28208-7201 | 2020-02-06 |
1336792191 | Megan Constance | Psychologist | 3506 W Tyvola Rd, Charlotte, NC 28208-7201 | 2019-07-22 |
1083266746 | Emily Anne Lupsor | Social Worker | 3506 W Tyvola Rd, Charlotte, NC 28208-7201 | 2019-07-12 |
1578093084 | Christa L Daino | Physical Therapist | 3506 W Tyvola Rd, Charlotte, NC 28208-7201 | 2017-06-16 |
1568814507 | Julia Yearwood | Psychologist | 3506 W Tyvola Rd, Charlotte, NC 28208-7201 | 2016-07-01 |
1962898890 | Pavan Angadi | Ophthalmology | 3506 W Tyvola Rd, Charlotte, NC 28208-7201 | 2015-04-07 |
1225380322 | Jenee B Thorsell | Social Worker | 3506 W Tyvola Rd, Charlotte, NC 28208-7201 | 2012-10-12 |
1427319623 | Kyle Victor Heuer | Dentist | 3506 W Tyvola Rd, Charlotte, NC 28208-7201 | 2012-06-04 |
1376786301 | Christine Michelle Murray | Family Medicine | 3506 W Tyvola Rd, Charlotte, NC 28208-7201 | 2009-04-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
1750929659 | Tru Pearl Solution Services Pllc | Community/Behavioral Health | 2128 Remount Road Suite B, Charlotte, NC 28208 | 2019-12-11 |
1245880699 | Camilla A Raley | Technician | 1539 Walton Rd, Charlotte, NC 28208 | 2019-09-18 |
1912567041 | Nolan Scott Blake | In Home Supportive Care | 4926 Ridgeley Dr., Suite B, Charlotte, NC 28208 | 2019-06-20 |
1699244145 | Catalyst Chiropractic, Pllc | Chiropractor | 2620 Tuckaseegee Rd., Charlotte, NC 28208 | 2018-11-14 |
1255854691 | Jessica Lynne Hunter | Social Worker | 2011 Water Walk Lane Apt 209, Charlotte, NC 28208 | 2017-07-18 |
1700311420 | Matthew Christian Mundorf | Chiropractor | 2620 Tuckaseegee Rd, Charlotte, NC 28208 | 2017-05-01 |
1700235439 | Erin Merchant | Counselor | 2016 Millerton Avenue, #2213, Charlotte, NC 28208 | 2016-06-03 |
1528432564 | Monika Sheree Moore | Counselor | 3205 Freedom Dr, Charlotte, NC 28208 | 2015-11-13 |
1205224540 | Phadality Home Care | Home Health | 201 S Hoskins Rd., Suite 119, Charlotte, NC 28208 | 2015-01-08 |
Find all providers in zip 28208 |
Taxonomy Code | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962026534 | Francis Xavier Parr IIi | Optometrist | 7711 Arboretum Dr Apt 204, Charlotte, NC 28270-0016 | 2020-05-29 |
1992353825 | National Vision Inc | Optometrist | 14141 Steele Creek Rd Ste 400, Charlotte, NC 28273-4231 | 2019-09-04 |
1710535778 | Spencer Elise Moore | Optometrist | 100 N Tryon St Ste 280, Charlotte, NC 28202-4004 | 2019-09-03 |
1134773534 | Shannon Kirchmer | Optometrist | 4407 Mountain Cove Dr, Charlotte, NC 28216-7787 | 2019-07-25 |
1295387637 | Excel Eyecare Od Pa | Optometrist | 14154 Steele Creek Rd, Ste 200, Charlotte, NC 28273 | 2019-07-16 |
1679042741 | Sapounas Optometry Services, LLC | Optometrist | 4704 South Blvd Ste A, Charlotte, NC 28217-2745 | 2018-11-19 |
1376012534 | Jannifer Shin | Optometrist | 7615 Colony Rd Ste 105, Charlotte, NC 28226-5018 | 2018-11-17 |
1265927040 | Ryan Wirkus | Optometrist | 7808 S Tryon St Ste D, Charlotte, NC 28273-4299 | 2018-06-25 |
1427570639 | Caroline Kaleel Fogleman | Optometrist | 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 | 2017-07-10 |
1629522883 | Yesha Gami | Optometrist | 3506 W Tyvola Rd Fl 3, Charlotte, NC 28208-7201 | 2016-08-05 |
Find all providers in CHARLOTTE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.