GEORGE S MIFFLETON


Address: 6300 E Independence Blvd, Charlotte, NC 28212-6944
Phone: 7045350925

GEORGE S MIFFLETON (NPI# 1689779514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689779514
Entity Type Individual
Full Name GEORGE S MIFFLETON
Credential OD
Practice Address 6300 E Independence Blvd
Charlotte
NC 28212-6944
Mailing Address 1950 Old Gallows Rd
Suite 520
Vienna
VA 22182-3990
Practice Telephone 7045350925
Practice Fax Number 7045370924
Mailing Telephone 7038478899
Mailing Fax Number 7039910514
Enumeration Date 2006-09-14
Last Update Date 2017-11-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 0834 NC Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 8909614 05

Office Location

Street Address 6300 E INDEPENDENCE BLVD
City CHARLOTTE
State NC
Zip Code 28212-6944

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275989287 Annotata, LLC Pharmacy 6300 E Independence Blvd, Suite B, Charlotte, NC 28212-6944 2016-05-09
1326323445 Sherelle Mccoy Morrison Optometrist 6300 E Independence Blvd, Charlotte, NC 28212 2011-10-20
1699985341 Douglas R Smith Physician Assistant 6300 E Independence Blvd, Suite B, Charlotte, NC 28212-6944 2007-05-23
1912008384 George Whaley Tate Ophthalmology 6300 E Independence Blvd, Charlotte, NC 28212-6944 2006-09-26

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NPI Name Taxonomy Address Enumeration
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1245711514 Savannah Huneycutt Dentist 6708 Albemarle Road, Charlotte, NC 28212 2018-08-24
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1447701511 Christine Walker Physical Therapy, LLC Clinic/Center 8850 Monroe Rd, Charlotte, NC 28212 2016-10-24
1013376128 Colby Edward Joyner Physician Assistant 7005 Wallace Rd Ste 600, Charlotte, NC 28212 2016-02-17
1760814412 Nguyen Tri Nguyen, Dds, Pa Dentist 6404 Albemarle Road, #c, Charlotte, NC 28212 2013-08-05
1477806834 Tara Thompson Counselor 6900 Democracy Dr., Charlotte, NC 28212 2012-10-23
1568711109 Mary Dianne Branch Counselor 8130 Runaway Bay Drive Apt Q, Charlotte, NC 28212 2012-08-29
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City CHARLOTTE
Zip Code 28212

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Dataset Information

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.

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