Basic Information
| Provider Information | |||||||||
| NPI: | 1386673580 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHOTTHOEFER | ||||||||
| FirstName: | ERIN | ||||||||
| MiddleName: | O'MALLEY | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6035 FAIRVIEW RD | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282103256 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7042953000 | ||||||||
| FaxNumber: | 7048923181 | ||||||||
| Practice Location | |||||||||
| Address1: | 10305 HAMPTONS PARK DRIVE | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | HUNTERSVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 280787217 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7042953000 | ||||||||
| FaxNumber: | 7048923181 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/01/2006 | ||||||||
| LastUpdateDate: | 04/02/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/02/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | 2006-00429 | NC | Y | Allopathic & Osteopathic Physicians | Ophthalmology |
ID Information
| ID | Type | State | Issuer | Description | 01152094 | 01 | SC | AMERIGROUP OF SC | OTHER | N86007 | 05 | SC | MEDICAID | 198272 | 01 | NC | MEDCOST | OTHER | 000000293956 | 01 | SC | UNISON HEALTH PLAN SC | OTHER | 2136319 | 01 | BEECHSTREET | OTHER | 2687 | 01 | NC | EVOLUTIONS | OTHER | 7497796 | 01 | NC | AETNA | OTHER | 810245 | 01 | NC | PARTNERS | OTHER | BCBS | 01 | NC | 142T9 | OTHER | 20096083 | 01 | SC | SELECT HEALTH OF SC | OTHER | 80800 | 01 | SC | CHC CARES OF SC | OTHER | 626480 | 01 | NC | UNITED HEALTHCARE | OTHER | P00937984 | 01 | NC | RAILROAD MEDICARE | OTHER |