Excel Eyecare OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EXCEL EYECARE OD PA

Practice address

13749 Steele Creek Rd Ste a
Charlotte, NC 28273-6841

Phone

(980) 319-1870

NPI assigned

Jul 16, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Angela Bergin, O.D.NPI 1790916856

Title

Optometrist/Owner

Phone

(980) 319-1870

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela D, Bergin, O.D.

  • Optometrist
  • Charlotte, NC
  • NPI 1790916856
  Medicare reassignment Care Compare group NPD Authorized official
• Mishali Patel, OD

  • Optometrist
  • Indian Land, SC
  • NPI 1033848502

  NC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1295387637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13749 STEELE CREEK RD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736841",
            "telephone_number": "803-431-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13749 STEELE CREEK RD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736841",
            "telephone_number": "980-319-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL EYECARE OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "BERGIN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "980-319-1870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Caring Partners
• Executive Car Service LLC
• Executive Healthcare Services
• Nia Angelina Exeter

• Optometrist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.