Individual provider Active NPI

Charles Gregory Thomas, O.D.

  • Optometrist
  • Charlotte, NC
National Provider Identifier
1730235375
Registry record updated Feb 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1301 Issued in NC
Practice address
7745 Ballantyne Commons Pkwy
Suite101
Charlotte, NC 28277-2442
Phone
(704) 841-3937
Fax
(704) 841-3964
NPI assigned
Jan 26, 2007
Last updated
Feb 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1301 NC Primary

Addresses

Primary practice location

7745 Ballantyne Commons Pkwy
Suite101
Charlotte, NC 28277-2442

Mailing address

7745 Ballantyne Commons Pkwy
Suite101
Charlotte, NC 28277-2442
Phone (704) 841-3937

Other identifiers 3

IdentifierTypeStateIssuer
093HROtherNCBCBS
28916OtherNCCOMMUNITY EYE CARE
05415OtherNCSPECTERA

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
I20090416000199 NC Practitioner - Optometry 0042367765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Associates of Co LLCGroup PAC ID 9537597828, 63 clinicians

Practice addresses (Care Compare)

7745 Ballantyne Commons Pkwy
Suite 101
Charlotte, NC 28277-5056
Phone (704) 841-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1301NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of Co LLC Optometrist CurrentSince Feb 20, 2023 Accepting new patients
Eye Care Associates of Co LLC Optometrist CurrentSince Feb 20, 2023 Accepting new patients
DRS. Thomas, House & Associates, Optometrists, PLLC Optometrist CurrentSince Jan 28, 2009 Accepting new patients
Vision Care Associates, OD, PA Optometrist Past Accepting new patients

Locations

8925 Ridgeline Blvd
Ste 107
Highlands Ranch, CO 80129
Phone (303) 791-2727

11030 Golf Links Dr
Ste 204
Charlotte, NC 28277
Phone (704) 943-5110

7745 Ballantyne Commons Pkwy
Ste 101
Charlotte, NC 28277
Phone (704) 841-3937

18 Bowman Dr
Ste C
Waynesville, NC 28785
Phone (800) 624-6575

230 Kings Hwy E
Haddonfield, NJ 08033
Phone (609) 744-2545

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233878400000",
    "number": "1730235375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7745 BALLANTYNE COMMONS PKWY",
            "address_2": "SUITE101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772442",
            "telephone_number": "704-841-3937",
            "fax_number": "704-841-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7745 BALLANTYNE COMMONS PKWY",
            "address_2": "SUITE101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772442",
            "telephone_number": "704-841-3937",
            "fax_number": "704-841-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CHARLES",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2009-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "093HR",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY EYE CARE",
            "identifier": "28916",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "05415",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.