Active NPI
Sean Pitale, O.D.
- Optometrist
- Matthews, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1529
- Practice address
- 4101 Campus Ridge Rd
Matthews, NC 28105-5077 - Phone
- (704) 234-1930
- Fax
- (704) 234-1940
- NPI assigned
- Sep 30, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG002130 | PA | |
| Optometrist | 152W00000X | 2166 | NC | |
| Optometrist | 152W00000X | 1529 | SC | Primary |
Addresses
Primary practice location
4101 Campus Ridge Rd
Matthews, NC 28105-5077
Mailing address
4101 Campus Ridge Rd
Matthews, NC 28105-5077
Phone (704) 234-1930
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5920824 | Medicaid | NC | |
| 0381 | Other | MEDICARE GROUP NUMBER FOR EMPLOYEE DR | |
| 3063 | Other | SC | MEDICARE GROUP NUMBER |
| D15295 | Medicaid | SC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- International American University at Puerto Rico - School of Optometry, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1729 New Hanover Medical Park Dr
Wilmington, NC 28403-5345
Phone (910) 763-3601
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.61 of 100
- Quality
- 91.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG002130 | PA | MD | Optometrist |
| 2166 | NC | MD | Physical Therapist |
| 1529 | SC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Eye Care Associates, OD, PLLC | Optometrist | Current | Accepting new patients |
| Wilmington Eye, P.a. | Current | Accepting new patients | |
| Wilmington Eye, P.a. | Current | Accepting new patients | |
| Dr. Michael a. Campbell | Past | Accepting new patients | |
| Optical Solutions | Past | Accepting new patients |
Locations
8811 Blakeney Professional Dr
Ste 100
Charlotte, NC 28277
Phone (704) 926-3937
5955 Weddington Rd
Ste 102
Wesley Chapel, NC 28104
Phone (704) 926-3937
9020 Senca Dr
Wilmington, NC 28411
Phone (901) 264-9317
1729 Medical Park
#P
Wilmington, NC 28403
1729 New Hanover Medical Park Dr
Wilmington, NC 28403
Phone (910) 772-8261
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- spitale@wileye.intellechartdirect.net
Organizations & group practices 5
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.
-
- Ophthalmology Physician
- Wilmington, NC
- NPI 1831280205
-
- Optometrist
- Charlotte, NC
- NPI 1144322058
-
- Optician
- Wilmington, NC
- NPI 1962566893
-
- Clinic/Center
- Hilton Head Island, SC
- NPI 1629276605
-
- Eyewear Supplier
- Hilton Head Island, SC
- NPI 1649319930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1225289952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 CAMPUS RIDGE RD",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281055077",
"telephone_number": "704-234-1930",
"fax_number": "704-234-1940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 CAMPUS RIDGE RD",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281055077",
"telephone_number": "704-234-1930",
"fax_number": "704-234-1940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITALE",
"first_name": "SEAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-30",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG002130",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "2166",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1529",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5920824",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER FOR EMPLOYEE DR",
"identifier": "0381",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "3063",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D15295",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.