Active NPI
Myeyedr Optometry of North Carolina, PLLC
Doing business as MyEyeDr.
- Optometrist
- Charlotte, NC
National Provider Identifier
1245116235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MYEYEDR OPTOMETRY OF NORTH CAROLINA, PLLC
- Doing business as
- MyEyeDr.
- Practice address
- 7915 Providence Rd
Ste 203
Charlotte, NC 28277 - Phone
- (704) 990-6934
- Fax
- (704) 731-0959
- NPI assigned
- Aug 14, 2025
- Last updated
- Aug 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sue Downes
- Title
- Secretary
- Phone
- (703) 847-8899
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
7915 Providence Rd
Ste 203
Charlotte, NC 28277
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other names 1
- MyEyeDr.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130904000726 | NC | Part B Supplier - Clinic/Group Practice | 6608019096 |
Receives reassigned benefits from 258 practitioners This NPI is an additional NPI on the enrollment |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2338689 | Myeyedr Optometry of North Carolina, PLLC | Certificate of waiver | Feb 15, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Myeyedr Optometry of North Carolina PLLC
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Optometrist
- Knightdale, NC
- NPI 1134041593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755129600000",
"number": "1245116235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7915 PROVIDENCE RD",
"address_2": "STE 203",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28277",
"telephone_number": "704-990-6934",
"fax_number": "704-731-0959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYEYEDR OPTOMETRY OF NORTH CAROLINA, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-14",
"last_updated": "2025-08-14",
"certification_date": "2025-08-12",
"status": "A",
"authorized_official_last_name": "DOWNES",
"authorized_official_first_name": "SUE",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "703-847-8899"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MyEyeDr.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charlotte, NC
- William C Myers, DDS
- Myeyedr Optmetry of North Carolina (MyEyeDr)
- Myeyedr Optometry of North Carolina (MyEyeDr)
- Myeyedr Optometry of North Carolina PLLC (MyEyeDr)
- Myeyedr Optometry of North Carolina, PLLC (MyEyeDr)
- Myeyedr Optometry of North Carolina, PLLC (MyEyeDr)
- Myeyedr Optometry of North Carolina, PLLC (MyEyeDr)
- Myeyedr Optometry of North Carolina, PLLC (MyEyeDr.)
- Myeyedr Optometry of North Carolina, PLLC (MyEyeDr)
- Myeyedr Optometry of North Carolina, PLLC (MyEyeDr)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.