Individual provider Active NPI

Tonimarie Vincent, D,O,

  • Optometrist
  • Charlotte, NC
National Provider Identifier
1497719462
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NC1272 Issued in NC
Practice address
5534 Albemarle Rd
Suite 107
Charlotte, NC 28212-3630
Phone
(704) 537-2020
Fax
(704) 537-0578
NPI assigned
Apr 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NC1272 NC Primary

Addresses

Primary practice location

5534 Albemarle Rd
Suite 107
Charlotte, NC 28212-3630

Mailing address

5534 Albemarle Rd
Suite 107
Charlotte, NC 28212-3630
Phone (704) 537-2020

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NC1272NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Eye Care Optometrist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1497719462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5534 ALBEMARLE RD",
            "address_2": "SUITE 107",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282123630",
            "telephone_number": "704-537-2020",
            "fax_number": "704-537-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5534 ALBEMARLE RD",
            "address_2": "SUITE 107",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282123630",
            "telephone_number": "704-537-2020",
            "fax_number": "704-537-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "TONIMARIE",
        "name_prefix": "Dr.",
        "credential": "D,O,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC1272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.