Individual provider Active NPI

Anna Kate Osborn, OD

  • Optometrist
  • Charlotte, NC
National Provider Identifier
1720839368
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2826 Issued in NC
Practice address
8316 Medical Plaza Dr
Charlotte, NC 28262-6702
Phone
(704) 547-1551
NPI assigned
Apr 1, 2024
Last updated
Aug 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 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 2826 NC Primary

Addresses

Primary practice location

8316 Medical Plaza Dr
Charlotte, NC 28262-6702

Mailing address

400 E Brooklyn Village Ave Unit 437
Charlotte, NC 28202-3611
Phone (217) 454-6884

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
I20241119000014 NC Practitioner - Optometry 6901331628 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Corte and Wruble, OD, PLLCGroup PAC ID 5294002689, 15 clinicians
University Eye Associates OD, PAGroup PAC ID 0648174128, shared by 3 NPIs, 11 clinicians

Practice addresses (Care Compare)

6801 Northlake Mall Dr
Suite 253
Charlotte, NC 28216-0757
Phone (704) 509-4490

8316 Medical Plaza Dr
Suite E
Charlotte, NC 28262-6704
Phone (704) 547-1551

9651 Brookdale Dr
Suite 800
Charlotte, NC 28215-8105
Phone (704) 536-6042

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2826NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
University Eye Associates, OD PA Optometrist Current Accepting new patients
Corte and Wruble, OD, PLLC Optometrist CurrentSince Nov 1, 2024 Accepting new patients
University Eye Associates OD, PA Optometrist CurrentSince Sep 1, 2024 Accepting new patients
University Eye Associates, OD PA Optometrist CurrentSince Sep 1, 2024 Accepting new patients

Locations

6801 Northlake Mall Dr
Ste 253
Charlotte, NC 28216
Phone (704) 509-4366

8316 Medical Plaza Dr
Charlotte, NC 28262
Phone (704) 547-1551

8316 Medical Plaza Dr
Ste E
Charlotte, NC 28262
Phone (704) 547-1551

9651 Brookdale Dr
Ste 800
Charlotte, NC 28215
Phone (704) 536-6042

8111 Concord Mills Blvd
Ste 359
Concord, NC 28027
Phone (980) 258-6038

455 S Main St
Ste 100
Davidson, NC 28036
Phone (704) 896-9090

Organizations & group practices 4

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": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1720839368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E BROOKLYN VILLAGE AVE UNIT 437",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282023611",
            "telephone_number": "217-454-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 MEDICAL PLAZA DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282626702",
            "telephone_number": "704-547-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "ANNA",
        "middle_name": "KATE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.