Charles M Knudson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2050 Issued in NC

Practice address

15640 John J Delaney Dr
Ste C
Charlotte, NC 28277-3176

Phone

(704) 943-5110

Fax

(704) 943-4449

NPI assigned

May 9, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, CO2 enrollments

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 2

Specialty

Optometry

Education

Southern College of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care Associates of Co LLCGroup PAC ID 9537597828, 63 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eye Care Associates of Co LLC

  dba Optical Matters

  • Optometrist
  • Centennial, CO
  • NPI 1124674049

  NC

  Medicare reassignment Care Compare group NPD
• Carolinas Vision Group

  • Optometrist
  • Charlotte, NC
  • NPI 1285993428
  Authorized official Same address or phone
• Eye Care Associates of Co LLC

  dba Creston Vision Clinic

  • Optometrist
  • Creston, IA
  • NPI 1548023518
  NPD
• Eye Care Associates of SC LLC

  • Optometrist
  • Chapin, SC
  • NPI 1679046569
  NPD

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1386693257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15640 JOHN J DELANEY DR",
            "address_2": "STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773176",
            "telephone_number": "704-943-5110",
            "fax_number": "704-943-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15640 JOHN J DELANEY DR",
            "address_2": "STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773176",
            "telephone_number": "704-943-5110",
            "fax_number": "704-943-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUDSON",
        "first_name": "CHARLES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charity Faye Knox, LCSW
• Iris Willow Knox
• Kristi Lynn Knox, M.A. LPC
• Kristin Johnson Knox, MT-BC
• Mary Green Knox, M.D.
• Sean Brian Knuth, PH.D.
• Knutson & Associates
• Heather S. Knutson, MD
• Stacy Kay Kobe, OTD, OTR/L
• Brittany Ann Kober, NP-C

• 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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.