Individual provider Active NPI

David Eugene Lupinski, O.D.

  • Optometrist
  • Charlotte, NC
National Provider Identifier
1720089758
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1816 Issued in NC
Practice address
12105 Copper Way
Suite 100
Charlotte, NC 28277-1756
Phone
(704) 295-4444
Fax
(704) 295-4443
NPI assigned
Aug 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1816 NC Primary

Addresses

Primary practice location

12105 Copper Way
Suite 100
Charlotte, NC 28277-1756

Mailing address

12105 Copper Way
Suite 100
Charlotte, NC 28277-1756
Phone (704) 295-4444

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080529000848 NC Practitioner - Optometry 6608773783 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Family Eye Care of Ballantyne OD PLLCGroup PAC ID 7810067337, 2 clinicians

Practice addresses (Care Compare)

12105 Copper Way
Suite 100
Charlotte, NC 28277-1817
Phone (704) 295-4444

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Eye Care OD PLLC Optometrist CurrentSince Sep 1, 2007 Accepting new patients
Carolina Family Eye Care of Ballantyne, OD, PLLC Optometrist CurrentSince Sep 1, 2007 Accepting new patients
Eyeoptix OD, PA Optometrist Past Accepting new patients

Locations

12105 Copper Way
Ste 100
Charlotte, NC 28277
Phone (704) 295-4444

2424 W Mallard Creek Church Rd
Ste D
Charlotte, NC 28262
Phone (704) 295-0123

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1720089758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12105 COPPER WAY",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771756",
            "telephone_number": "704-295-4444",
            "fax_number": "704-295-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12105 COPPER WAY",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771756",
            "telephone_number": "704-295-4444",
            "fax_number": "704-295-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPINSKI",
        "first_name": "DAVID",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.