Basic Information
| Provider Information | |||||||||
| NPI: | 1356427983 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | METROLINA ASSOCIATION FOR THE BLIND | ||||||||
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| Mailing Information | |||||||||
| Address1: | 704 LOUISE AVE | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282042128 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7043723870 | ||||||||
| FaxNumber: | 7043723872 | ||||||||
| Practice Location | |||||||||
| Address1: | 704 LOUISE AVE | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282042128 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7043723870 | ||||||||
| FaxNumber: | 7043723872 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/27/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | SCHEFFEL | ||||||||
| AuthorizedOfficialFirstName: | ROBERT | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7043723870 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251K00000X | 1720 | NC | Y | Agencies | Public Health or Welfare |
No ID Information.