Organization Active NPI

Myeyedr Optometry of North Carolina

Doing business as MyEyeDr

  • Optometrist
  • Charlotte, NC
National Provider Identifier
1700851045
Registry record updated May 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MYEYEDR OPTOMETRY OF NORTH CAROLINA
Doing business as
MyEyeDr
Practice address
6300 E Independence BVD
Charlotte, NC 28212
Phone
(704) 535-0925
Fax
(704) 537-0204
NPI assigned
Feb 21, 2006
Last updated
May 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2022

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

Authorized official

Name
Dr. Sue Healey
Title
Secretary
Phone
(703) 847-8899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

6300 E Independence BVD
Charlotte, NC 28212

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other names 1

  • MyEyeDr Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130904000726 NC Part B Supplier - Clinic/Group Practice 6608019096 Receives reassigned benefits from 258 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory

Locations

11088 US 15 501 Hwy
Unit 925
Aberdeen, NC 28315
Phone (910) 693-1226

800 W Williams St
Ste 164
Apex, NC 27502
Phone (919) 362-0332

2075 Renaissance Park Pl
Cary, NC 27513
Phone (919) 391-7224

114 S Tryon St
Charlotte, NC 28202
Phone (704) 377-5936

2711 Randolph Rd
Ste 110
Charlotte, NC 28207
Phone (704) 332-3024

6300 E Independence Blvd
Charlotte, NC 28212
Phone (704) 535-0925

7808 S Tryon St
Ste D
Charlotte, NC 28273
Phone (704) 522-8000

7915 Providence Rd
Ste 203
Charlotte, NC 28277
Phone (704) 990-6934

3500 N Duke St
Durham, NC 27704
Phone (984) 439-1685

7001 Fayetteville Rd
Ste 105
Durham, NC 27713
Phone (919) 861-9178

3354 W Friendly Ave
Ste 147
Greensboro, NC 27410
Phone (336) 387-0930

5710 W Gate City Blvd
Ste Q
Greensboro, NC 27407
Phone (336) 856-8711

9918 Knockando Ln
Ste 140
Huntersville, NC 28078
Phone (704) 237-3910

1027 S Main St
Kernersville, NC 27284
Phone (336) 996-2020

808 Circle Dr
Monroe, NC 28112
Phone (704) 226-9550

13220 Strickland Rd
Ste 160
Raleigh, NC 27613
Phone (919) 870-6430

1729 Davie Ave
Statesville, NC 28677
Phone (704) 873-0524

5615 S NC 41 Hwy
Ste 300
Wallace, NC 28466
Phone (910) 285-5050

5619 Carolina Beach Rd
Ste 110
Wilmington, NC 28412
Phone (910) 790-0212

178 Wakelon St
Zebulon, NC 27597
Phone (919) 269-6032

Practitioners & affiliated clinicians

Practitioners 173

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.

View all 173

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653782400000",
    "number": "1700851045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 E INDEPENDENCE BVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28212",
            "telephone_number": "704-535-0925",
            "fax_number": "704-537-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYEYEDR OPTOMETRY OF NORTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2022-05-29",
        "certification_date": "2022-05-29",
        "status": "A",
        "authorized_official_last_name": "HEALEY",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "703-847-8899",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyEyeDr",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MyEyeDr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2022; 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.