Individual provider Active NPI

Michelle Lynn Beachkofsky, O.D.

  • Optometrist
  • Charlotte, NC
National Provider Identifier
1457370405
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2436 Issued in NC
Practice address
7808 S Tryon St Ste D&E
Charlotte, NC 28273-4155
Phone
(704) 522-8000
Fax
(833) 231-6851
NPI assigned
Jul 19, 2006
Last updated
Oct 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001700 PA
Optometrist 152W00000X 2436 NC Primary

Addresses

Primary practice location

7808 S Tryon St Ste D&E
Charlotte, NC 28273-4155

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other identifiers 1

IdentifierTypeStateIssuer
NCU591AOtherNCMEDICARE

Other names 1

  • Michelle Beachkofsky Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 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

Enrollment IDStateProvider typePAC IDDetails
I20161013002383 SC Practitioner - Optometry 5496780009 Reassigns benefits to 1 organization
I20161013002433 NC Practitioner - Optometry 5496780009 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Eyecare Associates OD PLLCGroup PAC ID 7012803570, 8 clinicians

Practice addresses (Care Compare)

1960 Randolph Rd
Charlotte, NC 28207-1129
Phone (704) 372-5332

5955 Weddington Rd
Suite 102
Wesley Chapel, NC 28104-6297
Phone (704) 926-3937

Merit-based Incentive Payment System (MIPS)

Final score
95.15 of 100Reported as group
Quality
100
Improvement activities
40
Cost
83.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1954SCMDGeneral Practice Dentistry
2436NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of South Carolina, LLC Optometrist CurrentSince Apr 23, 2024 Accepting new patients
Piedmont Eye Care Associates, OD, PLLC Optometrist CurrentSince Sep 22, 2025 Accepting new patients
Myeyedr Optometry of South Carolina, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Oct 9, 2023 Accepting new patients
Myeyedr Optometry of South Carolina, LLC Optometrist CurrentSince Apr 23, 2024 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Oct 9, 2023 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist PastSince Oct 8, 2023 Accepting new patients
Eye Options Cottman, Inc. Optometrist PastSince Aug 1, 2003 Accepting new patients
Myeyedr Optometry of North Carolina Optometrist Past Accepting new patients
Weldon LTD Optometrist Past Accepting new patients

Locations

114 S Tryon St
Charlotte, NC 28202
Phone (704) 377-5936

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

6300 E Independence Blvd
Ste A
Charlotte, NC 28212
Phone (704) 535-0925

7808 S Tryon St
Ste D
Charlotte, NC 28273
Phone (704) 522-8000

7808 S Tryon St
Ste De
Charlotte, NC 28273
Phone (704) 522-8000

8811 Blakeney Professional Dr
Ste 100
Charlotte, NC 28277
Phone (704) 926-3937

584 Church St N
Concord, NC 28025
Phone (704) 782-0677

4949 Professional Park Dr
Ste 202
Kannapolis, NC 28081
Phone (704) 938-9777

7749 Matthews Mint Hill Rd
Mint Hill, NC 28227
Phone (704) 545-9797

1729 Davie Ave
Statesville, NC 28677
Phone (704) 873-0524

5955 Weddington Rd
Ste 102
Wesley Chapel, NC 28104
Phone (704) 926-3937

7710 Charlotte Hwy
Ste 104
Indian Land, SC 29707
Phone (803) 769-3736

1268 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 327-2001

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: mbeachkofsky030222@myeyedr.emadirect.md

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1457370405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7808 S TRYON ST STE D&E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734155",
            "telephone_number": "704-522-8000",
            "fax_number": "833-231-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACHKOFSKY",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001700",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NCU591A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "BEACHKOFSKY",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.