Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 2103 | NC |
N | 152W00000X | Optometrist | 4643 | MA |
NPI | 1013193697 |
---|---|
Provider Name | Dr. Nicolotte Zawilinski |
First Address | Charlotte, NC 28205-6600 |
Second Address | Charlotte, NC 28205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2008 |
Last Update Date | 09/08/2010 |