Individual provider · Type 1 NPI

Gaetan Banawoe

Optometrist · Charlotte, NC

NPI number 1235813650 Active

Practice location

9841 Northlake Centre Pkwy
Charlotte, NC 28216-8930

Mailing address

226 E 9th St Unit 615
Charlotte, NC 28202-3543

Other practice locations

  • 2391 Dave Lyle Blvd Unit 106, Rock Hill, SC 29730-8238 · (803) 329-6464
  • 1016 S Church St, Charlotte, NC 28203-4002 · (704) 375-3935

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000X2775 (NC)
Optometrist 152W00000X2415 (SC)

Optometrist: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…

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About NPI 1235813650

Gaetan Banawoe's National Provider Identifier is 1235813650, issued on Jun 14, 2023. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Charlotte, NC. The record was last updated on Aug 24, 2026.