Organization Active NPI

Aynsley Girardeau OD PLLC

Doing business as Mint Hill Eye

  • Optometrist
  • Mint Hill, NC
National Provider Identifier
1053837435
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2442 Issued in NC
Legal business name
AYNSLEY GIRARDEAU OD PLLC
Doing business as
Mint Hill Eye
Practice address
7014 Tutor Street
Mint Hill, NC 28227
Phone
(704) 937-1444
NPI assigned
Aug 17, 2017
Last updated
Jan 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Authorized official

Name
Dr. Aynsley Girardeau, ODNPI 1518311901
Title
Owner/Optometrist
Phone
(704) 937-1444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2442 NC Primary
Corneal and Contact Management Optometrist 152WC0802X 2442 NC
Pediatric Optometrist 152WP0200X 2442 NC

Addresses

Primary practice location

7014 Tutor Street
Mint Hill, NC 28227

Mailing address

7014 Tutor Street
Suite C
Mint Hill, NC 28227
Phone (704) 937-1444

Other names 1

  • Mint Hill Eye Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190213000360 NC Part B Supplier - Clinic/Group Practice 7911245253 Receives reassigned benefits from 1 practitioner
Practice locations: Mint Hill, NC

National Provider Directory

National Provider Directory

Locations

7014 Tutor St
Mint Hill, NC 28227
Phone (704) 937-1444

7014 Tutor St
Ste C
Mint Hill, NC 28227
Phone (704) 937-1444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1053837435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7014 TUTOR STREET",
            "address_2": "SUITE C",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "28227",
            "telephone_number": "704-937-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7014 TUTOR STREET",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "28227",
            "telephone_number": "704-937-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYNSLEY GIRARDEAU OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "GIRARDEAU",
        "authorized_official_first_name": "AYNSLEY",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "704-937-1444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2442",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NC",
            "license": "2442",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NC",
            "license": "2442",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mint Hill Eye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mint Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.