Individual provider Active NPI

Lasheta P. David, O.D.

  • Optometrist
  • Concord, NC
National Provider Identifier
1225174865
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1647 Issued in NC
Practice address
5160 Poplar Tent Rd
Concord, NC 28027-7756
Phone
(704) 795-3937
Fax
(704) 795-1577
NPI assigned
Jan 30, 2007
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1068 SC
Optometrist 152W00000X 1647 NC Primary

Addresses

Primary practice location

5160 Poplar Tent Rd
Concord, NC 28027-7756

Mailing address

5160 Poplar Tent Rd
Concord, NC 28027-7756
Phone (704) 795-3937

Other identifiers 9

IdentifierTypeStateIssuer
093H3OtherNCHEALTHCHOICE
1190OtherNCCOMMUNITY EYE CARE
25386OtherNCOPTICARE
651317623OtherNCSUPERIOR VISION
OP2772OtherNCEYEMED VISION CARE
562053819OtherNCSUPERIOR VISION
890915NMedicaidNC
093H3OtherNCBLUE CROSS BLUE SHIELD OF
48263OtherNCAVESIS (WELLPATH)

Other names 1

  • Dr. Lasheta D. Price Former name

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
I20080527000718 NC Practitioner - Optometry 1759450133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6167 Bayfield Pkwy
Concord, NC 28027-7486
Phone (704) 795-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1647NCMDMarriage & Family Therapist
1068SCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Invision Family Eyecare OD PLLC Optometrist CurrentSince Mar 11, 2017 Accepting new patients

Locations

5160 Poplar Tent Rd
Concord, NC 28027
Phone (704) 795-3937

6167 Bayfield Pkwy
Concord, NC 28027
Phone (704) 795-3937

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1225174865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5160 POPLAR TENT RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280277756",
            "telephone_number": "704-795-3937",
            "fax_number": "704-795-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 POPLAR TENT RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280277756",
            "telephone_number": "704-795-3937",
            "fax_number": "704-795-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "LASHETA",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1068",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCHOICE",
            "identifier": "093H3",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY EYE CARE",
            "identifier": "1190",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICARE",
            "identifier": "25386",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR VISION",
            "identifier": "651317623",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION CARE",
            "identifier": "OP2772",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR VISION",
            "identifier": "562053819",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890915N",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "093H3",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS (WELLPATH)",
            "identifier": "48263",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LASHETA",
            "last_name": "PRICE",
            "middle_name": "D.",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.