Audrey Lake House, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1260 Issued in NC

Practice address

7745 Ballantyne Commons Pkwy
Suite 101
Charlotte, NC 28277-2442

Phone

(704) 841-3937

Fax

(704) 841-3964

NPI assigned

Jan 26, 2007

Last updated

Feb 6, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of North Carolina PLLCGroup PAC ID 6608019096, 167 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Myeyedr Optometry of North Carolina, PLLC

  dba MyEyeDr

  • Optometrist
  • Charlotte, NC
  • NPI 1023183563
  Medicare reassignment Care Compare group
• Eye Care Associates of Co LLC

  dba Optical Matters

  • Optometrist
  • Centennial, CO
  • NPI 1124674049

  NC

  Medicare reassignment NPD
• DRS. Thomas, House & Associates, Optometrists, PLLC

  • Optometrist
  • Charlotte, NC
  • NPI 1619005980
  NPD
• Myeyedr Optometry of North Carolina, PLLC

  dba Myeyedr

  • Optometrist
  • Aberdeen, NC
  • NPI 1104229343
  NPD
• Myeyedr Optometry of North Carolina, PLLC

  • Optometrist
  • Monroe, NC
  • NPI 1407737182
  NPD
• Eye Care Associates of Co LLC

  dba Creston Vision Clinic

  • Optometrist
  • Creston, IA
  • NPI 1548023518
  NPD
• Myeyedr Optometry of North Carolina

  dba MyEyeDr

  • Optometrist
  • Charlotte, NC
  • NPI 1700851045
  NPD (past)
• Vision Care Associates, OD, PA

  • Optometrist
  • Charlotte, NC
  • NPI 1548409576
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233878400000",
    "number": "1568518116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7745 BALLANTYNE COMMONS PKWY",
            "address_2": "SUITE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772442",
            "telephone_number": "704-841-3937",
            "fax_number": "704-841-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7745 BALLANTYNE COMMONS PKWY",
            "address_2": "SUITE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772442",
            "telephone_number": "704-841-3937",
            "fax_number": "704-841-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "AUDREY",
        "middle_name": "LAKE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2009-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "05415",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "093HT",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY EYE CARE",
            "identifier": "28916",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret M. Houlihan, PH.D.
• Christopher Taylor Houpt, PHARMD
• House of Hope Assisted Living LLC (House of Hope LLC)
• House of NC Inc.
• House United Dba 101Mobility
• Hedy Elizabeth House, R.PH.
• Laura Allison House, FNP-C
• Nikki Rae Householder, PA-C
• Angela Dawn Houser-Betti, PSY.D.
• Patrick Lee Houser, B.S, D.C

• 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 6, 2009; 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.