Individual provider Active NPI

Charlene Singh

  • Optometrist
  • Salisbury, NC
National Provider Identifier
1245784404
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
31-1575142 Issued in NC
Practice address
1601 Brenner Ave
Building 3, Floor 2, Eye Clinic
Salisbury, NC 28144-2515
Phone
(704) 638-9000
NPI assigned
Aug 4, 2016
Last updated
Aug 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 31-1575142 NC Primary

Addresses

Primary practice location

1601 Brenner Ave
Building 3, Floor 2, Eye Clinic
Salisbury, NC 28144-2515

Mailing address

1601 Brenner Ave
Building 3, Floor 2, Eye Clinic
Salisbury, NC 28144-2515

Other identifiers 1

IdentifierTypeStateIssuer
31-1575142MedicaidNC

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
I20201030001998 NC Practitioner - Optometry 3971913088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ryan Leblanc OD PLLCGroup PAC ID 4981014164, 19 clinicians

Practice addresses (Care Compare)

3000 E Franklin Blvd
Gastonia, NC 28056-9451
Phone (704) 866-9833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31-1575142NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Leblanc OD PLLC Optometrist CurrentSince Sep 1, 2020 Accepting new patients

Locations

7735 N Tryon St
Charlotte, NC 28262
Phone (704) 547-0305

201 Zelkova Ct NW
Conover, NC 28613
Phone (828) 464-4362

3000 E Franklin Blvd
Gastonia, NC 28056
Phone (704) 866-9599

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": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1245784404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 BRENNER AVE",
            "address_2": "BUILDING 3, FLOOR 2, EYE CLINIC",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 BRENNER AVE",
            "address_2": "BUILDING 3, FLOOR 2, EYE CLINIC",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442515",
            "telephone_number": "704-638-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "CHARLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "31-1575142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31-1575142",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

Verify at the official NPI Registry.