Gaetan Banawoe
Individual provider Active NPI Optometrist · Charlotte, NC
NPI 1235813650 · NPPES record last updated Aug 24, 2026
Key facts
- NPI
- 1235813650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2775 (NC)
- Practice address
- 9841 Northlake Centre Pkwy
Charlotte, NC 28216-8930 - Phone
- (704) 598-2468
- NPI assigned
- Jun 14, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Accuvision Eye Care OD, PA
Practice addresses (Care Compare)
3916 E Franklin Blvd
Suite 160
Gastonia, NC 28056-9220
Phone (704) 565-0660
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250114001265 | NC | Practitioner - Optometry | 7719415041 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accuvision Eye Care OD, PA | Optometrist | Current |
Accepting new patients |
| America'S Best Contacts & Eyeglasses | Past |
Accepting new patients |
Locations
9841 Northlake Centre Pkwy
Charlotte, NC 28216
Phone (704) 526-3648
246 N New Hope Rd
Gastonia, NC 28054
Phone (704) 867-1391
3916 E Franklin Blvd
Ste 160
Gastonia, NC 28056
Phone (704) 565-0660
2377 Dave Lyle Blvd
Rock Hill, SC 29730
Phone (803) 366-8191
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2775 | NC | Yes |
| Optometrist | 152W00000X | 2415 | SC |
Addresses
Primary practice location
9841 Northlake Centre Pkwy
Charlotte, NC 28216-8930
Mailing address
226 E 9TH St Unit 615
Charlotte, NC 28202-3543
Phone (434) 996-6124
Other practice location 1
1016 S Church St
Charlotte, NC 28203-4002
Phone (704) 375-3935
Other practice location 2
2391 Dave Lyle Blvd Unit 106
Rock Hill, SC 29730-8238
Phone (803) 329-6464
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2775 | Other | NC | OPTOMETRY LICENSE |
Other providers in Charlotte, NC
- Kayla Bamberg
- Daniel Andrew Bambini
- Vanitha Banajjar Revanasiddappa
- Zuzana Rajecka Banas
- Mohammad Fawzy Banawan
- Leonid Banchik
- Berita Banda
- Gretha Ngoma Banda
- Kirby Bandoquillo
- Rachael Bandy
All providers in Charlotte, NC · Optometrist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.