Basic Information
| Provider Information | |||||||||
| NPI: | 1861525057 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PRICE | ||||||||
| FirstName: | PAMELA | ||||||||
| MiddleName: | CATHY | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | O.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7749 MATTHEWS MINT HILL RD | ||||||||
| Address2: | |||||||||
| City: | MINT HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282277598 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7045459797 | ||||||||
| FaxNumber: | 7045453111 | ||||||||
| Practice Location | |||||||||
| Address1: | 7749 MATTHEWS MINT HILL RD | ||||||||
| Address2: | |||||||||
| City: | MINT HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282277598 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7045459797 | ||||||||
| FaxNumber: | 7045453111 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/14/2007 | ||||||||
| LastUpdateDate: | 11/29/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152WC0802X | 970 | NC | N | Eye and Vision Services Providers | Optometrist | Corneal and Contact Management | 152W00000X | 0970 | NC | Y | 193400000X SINGLE SPECIALTY GROUP | Eye and Vision Services Providers | Optometrist |
No ID Information.