Organization Active NPI

Dr. Jeffrey I. Musler & Associates, Optometry Group, PA

  • Optometrist
  • Charlotte, NC
National Provider Identifier
1093988495
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1265 Issued in NC
Legal business name
DR. JEFFREY I. MUSLER & ASSOCIATES, OPTOMETRY GROUP, PA
Practice address
4400 Sharon Rd
Charlotte, NC 28211
Phone
(704) 364-7982
NPI assigned
Apr 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Authorized official

Name
Dr. Jeffrey Ivan Musler, O.D.NPI 1255398434
Title
Owner
Phone
(704) 806-3336

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1265 NC Primary

Addresses

Primary practice location

4400 Sharon Rd
Charlotte, NC 28211

Mailing address

4400 Sharon Rd Ste A34
Charlotte, NC 28211-3531
Phone (704) 364-7982

Other identifiers 3

IdentifierTypeStateIssuer
NC1265OtherNCEYEMED VISION CARE
40270OtherNCAVESIS
0964AOtherNCBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100410000025 NC Part B Supplier - Clinic/Group Practice 0345376877 Receives reassigned benefits from 4 practitioners
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

4400 Sharon Rd
Ste A34
Charlotte, NC 28211

4400 Sharon Rd
Ste 135
Charlotte, NC 28211

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1093988495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 SHARON RD STE A34",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282113531",
            "telephone_number": "704-364-7982",
            "fax_number": "704-541-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 SHARON RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28211",
            "telephone_number": "704-364-7982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JEFFREY I. MUSLER & ASSOCIATES, OPTOMETRY GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "MUSLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-806-3336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION CARE",
            "identifier": "NC1265",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "40270",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0964A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.