Individual provider Active NPI

Karen Elizabeth Jones, O.D.

  • Optometrist
  • Charlotte, NC
National Provider Identifier
1295812865
Registry record updated Aug 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1797 Issued in NC
Practice address
10210 Prosperity Park Drive
Suite 200
Charlotte, NC 28269-1103
Phone
(704) 875-8787
Fax
(704) 875-7171
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1797 NC Primary
Corneal and Contact Management Optometrist 152WC0802X 1797 NC

Addresses

Primary practice location

10210 Prosperity Park Drive
Suite 200
Charlotte, NC 28269-1103

Mailing address

6714 Fortescue Dr
Charlotte, NC 28213-2102
Phone (704) 509-0328

Other identifiers 3

IdentifierTypeStateIssuer
89093JWMedicaidNC
093JWOtherNEBCBS
NC1797OtherNCEYEMED PROVIDER NUMBER

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
I20070606000174 NC Practitioner - Optometry 3678671211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10210 Prosperity Park Dr
Suite 200
Charlotte, NC 28269-5600
Phone (704) 875-8787

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1797NCMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
F. Y. Eye Care Associates, Optometrists, PA Corneal and Contact Management CurrentSince Feb 5, 2007 Accepting new patients
Focus Eye Care, Optometrists, PA Optometrist Past Accepting new patients
Karl Kleinau Optometrist Past Accepting new patients
Dr. Gary S. Miller & Associates, Optometrists, PA Optometrist Past Accepting new patients

Locations

10210 Prosperity Park Dr
#2
Charlotte, NC 28269
Phone (704) 875-8787

10210 Prosperity Park Dr
Ste 200
Charlotte, NC 28269
Phone (704) 875-8787

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754179200000",
    "number": "1295812865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6714 FORTESCUE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282132102",
            "telephone_number": "704-509-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 PROSPERITY PARK DRIVE",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282691103",
            "telephone_number": "704-875-8787",
            "fax_number": "704-875-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-08-03",
        "certification_date": "2025-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1797",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NC",
            "license": "1797",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89093JW",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "093JW",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED PROVIDER NUMBER",
            "identifier": "NC1797",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.