Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB ETHAN NEW
ActiveJACOB ETHAN NEW is a Optician healthcare provider located in CHARLOTTE, North Carolina. NPI 1811759988 is currently active in the NPPES registry. Verify at CMS.
Optician · CHARLOTTE, NC
Registration Details
- NPI Number
- 1811759988
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 25, 2024 (2.5761808430426 yrs)
- Last Updated
- Jan 25, 2024
Practice Information
- Address
-
4108 PARK RD STE 205CHARLOTTE, NC, 282092260Browse NC providers · Browse ZIP 28209
- Phone
- 7042487557
- Primary Specialty
-
Optician
156F00000X
Other Optician Providers in CHARLOTTE, NC
| Name | Credential | NPI |
|---|---|---|
| SARAH LEE | HTL | 1669950663 |
| MS. KELLI ENSLEY FERGUSON | CNA II | 1033746011 |
| TANIJA S WILLS | — | 1255136529 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.