Vision Care Associates, OD, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

2112 Issued in NC

Legal business name

VISION CARE ASSOCIATES, OD, PA

Practice address

3419 Pineville Matthews Rd
Charlotte, NC 28226-9305

Phone

(704) 541-0468

Fax

(704) 542-0318

NPI assigned

Feb 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mark W Gifford, ODNPI 1598798100

Title

Owner/President

Phone

(704) 541-0468

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark W Gifford, O.D.

  • Optometrist
  • Charlotte, NC
  • NPI 1598798100
  Medicare reassignment NPD Authorized official
• Audrey Lake House, O.D.

  • Optometrist
  • Charlotte, NC
  • NPI 1568518116
  NPD (past)
• Rhonda K. Schrader, O.D.

  • Optometrist
  • Charlotte, NC
  • NPI 1033259643
  NPD (past)
• Stephen Lee Smith, OD

  • Optometrist
  • Charlotte, NC
  • NPI 1376635474
  NPD (past)
• Charles Gregory Thomas, O.D.

  • Optometrist
  • Charlotte, NC
  • NPI 1730235375
  NPD (past)

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

{
    "created_epoch": "1234656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1548409576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 PINEVILLE MATTHEWS RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282269305",
            "telephone_number": "704-541-0468",
            "fax_number": "704-542-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 PINEVILLE MATTHEWS RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282269305",
            "telephone_number": "704-541-0468",
            "fax_number": "704-542-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CARE ASSOCIATES, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-15",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "GIFFORD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "704-541-0468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pardha Saradhi Vishnumolakala, M.D., M.H.A
• Vision Central
• Vision Health Center, LLC (Family Choice Home Care)
• Vision Healthcare Provider Services, LLC
• Vision Home Care Services Inc.
• Visionary Impact Development LLC

• 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 Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.