Provider Demographics
NPI:1194878058
Name:ASKARY BLANTON & ASSOICATES OD PLLC
Entity type:Organization
Organization Name:ASKARY BLANTON & ASSOICATES OD PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:COMBEEZ
Authorized Official - Last Name:ASKARY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:704-541-5500
Mailing Address - Street 1:16131 LANCASTER HWY
Mailing Address - Street 2:STE 170
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-3883
Mailing Address - Country:US
Mailing Address - Phone:704-541-5500
Mailing Address - Fax:
Practice Address - Street 1:16131 LANCASTER HWY
Practice Address - Street 2:SUITE 170
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-3883
Practice Address - Country:US
Practice Address - Phone:704-541-5500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC1611152W00000X
NCNC1614152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCA103Medicare PIN