Individual provider Active NPI

Madison Angell

  • Optometrist
  • Salisbury, NC
National Provider Identifier
1609562685
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2774 Issued in NC
Practice address
1601 Brenner Ave
Salisbury, NC 28144-2515
Phone
(704) 638-9000
NPI assigned
Apr 13, 2023
Last updated
May 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2774 NC Primary

Addresses

Primary practice location

1601 Brenner Ave
Salisbury, NC 28144-2515

Mailing address

PO Box 249
Plains, KS 67869-0249
Phone (620) 655-3602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 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
I20240722004073 NC Practitioner - Optometry 8426594862 Reassigns benefits to 1 organization
I20250213001055 SC Practitioner - Optometry 8426594862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metrolina Eye Associates PLLCGroup PAC ID 7315908498, 13 clinicians

Practice addresses (Care Compare)

630 Comfort Lane
Monroe, NC 28112-6199
Phone (704) 289-5455

724 Arden LN
Suite 120
Rock Hill, SC 29732-2995
Phone (803) 324-4258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2447SCMDPsychologist
2774NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Metrolina Eye Associates, PLLC CurrentSince Aug 12, 2024 Accepting new patients
Metrolina Eye Associates, PLLC CurrentSince Aug 12, 2024 Accepting new patients

Locations

4101 Campus Ridge Rd
Ste 200
Matthews, NC 28105
Phone (704) 234-1943

630 Comfort Ln
Monroe, NC 28112
Phone (704) 289-5455

630 Comfort Ln
Ste E
Monroe, NC 28112
Phone (704) 289-5455

6237 Carolina Commons Dr
Ste 300
Indian Land, SC 29707
Phone (803) 547-3937

724 Arden Ln
Ste 120
Rock Hill, SC 29732
Phone (803) 324-3070

Interoperability endpoints

  • Direct secure messaging: mangell@metrolina.intellechartdirect.net

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, 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": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1609562685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "PLAINS",
            "state": "KS",
            "postal_code": "678690249",
            "telephone_number": "620-655-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 BRENNER AVE",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442515",
            "telephone_number": "704-638-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELL",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

Verify at the official NPI Registry.