Individual provider Active NPI

Aynsley Girardeau, OD

  • Optometrist
  • Mint Hill, NC
National Provider Identifier
1518311901
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2442 Issued in NC
Practice address
7014 Tutor Street
Suite C
Mint Hill, NC 28227
Phone
(704) 937-1444
NPI assigned
Apr 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2442 NC Primary

Addresses

Primary practice location

7014 Tutor Street
Suite C
Mint Hill, NC 28227

Mailing address

7014 Tutor Street
Suite C
Mint Hill, NC 28227
Phone (704) 937-1444

Other practice location 1

8180 S Tryon St
Charlotte, NC 28273-3325
Phone (704) 588-9219

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
I20170612002774 SC Practitioner - Optometry 2769750975
I20190213000464 NC Practitioner - Optometry 2769750975 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7014 Tutor St
Suite C
Mint Hill, NC 28227-4433
Phone (980) 209-9437

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2442NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Leblanc OD PLLC Optometrist CurrentSince Sep 1, 2020 Accepting new patients
Aynsley Girardeau OD PLLC Optometrist CurrentSince Jan 21, 2019 Accepting new patients

Locations

8180 S Tryon St
Charlotte, NC 28273
Phone (704) 588-9219

7735 N Tryon St
Charlotte, NC 28262
Phone (704) 547-0305

7014 Tutor St
Ste C
Mint Hill, NC 28227
Phone (704) 937-1444

Organizations & group practices 2

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": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1518311901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7014 TUTOR STREET",
            "address_2": "SUITE C",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "28227",
            "telephone_number": "704-937-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7014 TUTOR STREET",
            "address_2": "SUITE C",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "28227",
            "telephone_number": "704-937-1444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8180 S Tryon St",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282733325",
            "country_code": "US",
            "telephone_number": "704-588-9219",
            "fax_number": "704-588-8043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIRARDEAU",
        "first_name": "AYNSLEY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mint Hill, NC

Sources for this page

Verify at the official NPI Registry.