Active NPI
Carrie E Carpenter, O.D.
- Optometrist
- Shelby, NC
National Provider Identifier
1356608053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1655
- Practice address
- 705 E Dixon Blvd
Shelby, NC 28152-6821 - Phone
- (704) 487-0031
- NPI assigned
- Apr 19, 2012
- Last updated
- Sep 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2233 | NC | |
| Optometrist | 152W00000X | 1655 | SC | Primary |
Addresses
Primary practice location
705 E Dixon Blvd
Shelby, NC 28152-6821
Mailing address
250 Davis Plantation Rd
Bessemer City, NC 28016-8532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1655 | SC | MD | Nurse Practitioner |
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.
-
- Optometrist
- Shelby, NC
- NPI 1992145015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1356608053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 DAVIS PLANTATION RD",
"city": "BESSEMER CITY",
"state": "NC",
"postal_code": "280168532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 E DIXON BLVD",
"city": "SHELBY",
"state": "NC",
"postal_code": "281526821",
"telephone_number": "704-487-0031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "CARRIE",
"middle_name": "E",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-19",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "2233",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby, NC
- Carolinas Physicians Network Inc (Atrium Health Women's Care Shelby OB/GYN)
- Carolinas Physicians Network, Inc. (The Sanger Clinic)
- Carolinas Physicians Network, Inc. (The Sanger Clinic)
- Caromont Medical Group Inc (CaroMont Family Medicine)
- Caromont Medical Group Inc (Family Medicine of Cleveland County)
- Jennifer Starnes Carraux, PA
- Brenda Hunt Carroll
- Joshua McDaniel Carroll, DPT
- Shana Wood Carroll, M.S., CCC-SLP
- David Mitchell Carscaddon, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.