Caroline Kaleel Fogleman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2490 Issued in NC

Practice address

1710 Kenilworth Ave Ste 210
Charlotte, NC 28203

Phone

(704) 348-1500

NPI assigned

Jul 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

Southern College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Ckfogleman OD, PLLC

  • Clinic/Center
  • Wilmington, NC
  • NPI 1790388973
  Medicare reassignment NPD Authorized official
• Innovative Eye Care OD PLLC

  • Optometrist
  • Charlotte, NC
  • NPI 1114201936
  Medicare reassignment NPD
• Wilmington Optometry, PA

  • Optometrist
  • Wilmington, NC
  • NPI 1245370014
  NPD

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1427570639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 SPRING VALLEY RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282105433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 KENILWORTH AVE STE 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28203",
            "telephone_number": "704-348-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGLEMAN",
        "first_name": "CAROLINE",
        "middle_name": "KALEEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1997",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marcelle Fodel, D.C., LAC
• Jonathan Mercer Foell, LAT, ATC
• Alicia Fogarty, MS, RDN, CSSD, LDN
• Kerryann Fogarty, APRN,FNP-C
• Patricia Marie Fogarty, MS, RDN, LDN
• Mark Alexander Fogleman, BCBA
• Sunya W. Folayan, P-LCSW
• Lisa Nichole Folden, DPT
• Courtney Lynne Foley, DPT
• Lauren Foley, NP

• 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 Jul 19, 2018; 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.