| Dr Lee Angelo Wiley, | |
|
10405 Centrum Pkwy, Pineville, NC 28134-8825 | |
| (704) 295-3650 | |
| (704) 295-3660 |
| Full Name | Dr Lee Angelo Wiley |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 11 Years |
| Location | 10405 Centrum Pkwy, Pineville, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518351493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 2020-00983 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Presbyterian Medical Center | Charlotte, NC | Hospital |
| Carolinas Medical Center/behav Health | Charlotte, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Charlotte Eye Ear Nose And Throat Associates Pa | 0446155451 | 181 |
| Charlotte Eye Ear Nose And Throat Associates Pa | 0446155451 | 181 |
| Entity Name | Charlotte Eye Ear Nose & Throat Associates PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043287469 PECOS PAC ID: 0446155451 Enrollment ID: O20031203000519 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lee Angelo Wiley, 6035 Fairview Rd, Charlotte, NC 28210-3256 Ph: (704) 295-3000 | Dr Lee Angelo Wiley, 10405 Centrum Pkwy, Pineville, NC 28134-8825 Ph: (704) 295-3650 |
Dr. Marilyn Mclaurin Collins, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 10405 Centrum Pkwy, Pineville, NC 28134 Phone: 704-295-3650 |
Alexandra Pietraszkiewicz, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 10405 Centrum Pkwy, Pineville, NC 28134 Phone: 704-295-3650 |