Alexandra Marie Robertson, OD

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

License

2707 Issued in NC

Practice address

2424 W Mallard Creek Church Rd Ste D
Charlotte, NC 28262-5800

Phone

(704) 295-0123

NPI assigned

Sep 12, 2022

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

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edward L. Paul, Jr., O.D., PH.D., P.a.Group PAC ID 0941309892, 5 clinicians

Carolina Family Eye Care OD PLLCGroup PAC ID 8123197597, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Carolina Family Eye Care OD PLLC

  • Optometrist
  • Charlotte, NC
  • NPI 1700970423
  Medicare reassignment Care Compare group NPD
• Edward L. Paul, Jr., O.D., PH.D., P.a.

  • Optometrist
  • Wilmington, NC
  • NPI 1225231756

  Low Vision Rehabilitation

  Medicare reassignment Care Compare group NPD
• Carolina Family Eye Care of Ballantyne, OD, PLLC

  • Optometrist
  • Charlotte, NC
  • NPI 1871691485
  NPD (past)

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1679294276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 W MALLARD CREEK CHURCH RD STE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282625800",
            "telephone_number": "704-295-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 W MALLARD CREEK CHURCH RD STE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282625800",
            "telephone_number": "704-295-0123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1613 Military Cutoff Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284035745",
            "country_code": "US",
            "telephone_number": "910-256-6364",
            "fax_number": "910-256-6617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12105 Copper Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282771817",
            "country_code": "US",
            "telephone_number": "704-754-5935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12105 Copper Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282771817",
            "country_code": "US",
            "telephone_number": "910-256-6364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "ALEXANDRA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NC",
            "license": "2707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Roberts
• Virginia S. Roberts, CRNA
• William H Roberts, M.D.
• William S Roberts, MD
• Heather Nicole Robertson White, MD
• Alice Ann Robertson, CNM, FNP-C
• Brian James Robertson, LCSW
• Brooke Robertson
• Chad W. Robertson, D.C., A.T.C.
• Ellen Monaghan Robertson, OTR L

• Low Vision Rehabilitation Optometrist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Low Vision Rehabilitation Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.