Provider Demographics
NPI:1396078424
Name:MADARIS, APRIL IHNE (OD)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:IHNE
Last Name:MADARIS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:
Other - Last Name:KWONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:3025 SPRINGBANK LN
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-3362
Mailing Address - Country:US
Mailing Address - Phone:704-540-9595
Mailing Address - Fax:
Practice Address - Street 1:3025 SPRINGBANK LN
Practice Address - Street 2:SUITE 200
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-3362
Practice Address - Country:US
Practice Address - Phone:704-540-9595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-08
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2158152W00000X
NJ270A00637500152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5914423Medicaid
NCP00778489OtherMEDICARE RAILROAD CARRIER
NC0930XOtherBCBS
NC2484606BMedicare PIN
NC2484606EMedicare PIN
NC2484606GMedicare PIN
NC0930XOtherBCBS
NCNC2819AMedicare PIN
NC2484606AMedicare PIN
NCP00778489OtherMEDICARE RAILROAD CARRIER
NC5914423Medicaid
NC2484606FMedicare PIN
NC2484606CMedicare PIN
NCNC2849AMedicare PIN