Individual provider Active NPI

Shemeeka L McFadden, O.D

  • Optometrist
  • Charlotte, NC
National Provider Identifier
1003079518
Registry record updated Dec 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2120 Issued in NC
Practice address
5330B South Blvd
Charlotte, NC 28217-4116
Phone
(704) 525-9802
Fax
(704) 523-2862
NPI assigned
Jul 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2120 NC Primary

Addresses

Primary practice location

5330B South Blvd
Charlotte, NC 28217-4116

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other practice location 1

6311 Carmel Rd
Suite 102
Charlotte, NC 28226-8341
Phone (704) 542-2844

Other practice location 2

113 Country Club Dr NE
Concord, NC 28025-2935
Phone (704) 786-7600

Other practice location 3

1007 Skyway Dr Ste A
Monroe, NC 28110-3051
Phone (704) 289-1547

Other practice location 4

5850 US-74
Unit 116
Indian Trail, NC 28079
Phone (704) 234-7355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100907000884 NC Practitioner - Optometry 9133243553 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Feb 15, 2021 Accepting new patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Aug 2, 2010 Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince Aug 2, 2010 Accepting new patients
Myeyedr Optometry of North Carolina PLLC Optometrist CurrentSince Feb 15, 2021 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist PastSince Dec 13, 2020 Accepting new patients
Eyecarecenter OD PA Optometrist Past Accepting new patients

Locations

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

6311 Carmel Rd
Charlotte, NC 28226
Phone (704) 542-2844

5330 South Blvd
#B
Charlotte, NC 28217
Phone (704) 523-7877

1208 South Blvd
Charlotte, NC 28203
Phone (704) 392-2020

6311 Carmel Rd
Ste 102
Charlotte, NC 28226
Phone (704) 542-2844

7510 Pineville Matthews Rd
Charlotte, NC 28226
Phone (704) 542-2844

113 Country Club Dr NE
Concord, NC 28025
Phone (704) 786-7600

1007 Skyway Dr
Ste A
Monroe, NC 28110
Phone (704) 289-1547

819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Networks

  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

  • Direct secure messaging: smcfadden@direct.eyecare-partners.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607126400000",
    "number": "1003079518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330B SOUTH BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282174116",
            "telephone_number": "704-525-9802",
            "fax_number": "704-523-2862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6311 Carmel Rd",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282268341",
            "country_code": "US",
            "telephone_number": "704-542-2844",
            "fax_number": "704-542-3386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "113 Country Club Dr NE",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252935",
            "country_code": "US",
            "telephone_number": "704-786-7600",
            "fax_number": "704-792-2131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1007 Skyway Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281103051",
            "country_code": "US",
            "telephone_number": "704-289-1547",
            "fax_number": "704-291-9441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5850 US-74",
            "address_2": "Unit 116",
            "address_purpose": "LOCATION",
            "city": "Indian Trail",
            "state": "NC",
            "postal_code": "28079",
            "country_code": "US",
            "telephone_number": "704-234-7355",
            "fax_number": "704-234-7356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCFADDEN",
        "first_name": "SHEMEEKA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2020-12-05",
        "certification_date": "2020-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.