Individual provider Active NPI

Heather C Smith, O.D.

  • Optometrist
  • Charlotte, NC
National Provider Identifier
1750380796
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1651 Issued in NC
Practice address
1001 E WT Harris Blvd
Suite H
Charlotte, NC 28213-4104
Phone
(704) 549-4523
Fax
(704) 549-0606
NPI assigned
Jul 20, 2005
Last updated
Feb 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1651 NC Primary

Addresses

Primary practice location

1001 E WT Harris Blvd
Suite H
Charlotte, NC 28213-4104

Mailing address

1001 E WT Harris Blvd
Suite H
Charlotte, NC 28213-4104
Phone (704) 549-4523

Other identifiers 4

IdentifierTypeStateIssuer
093TKOtherNCBCBSNC
5900620MedicaidNC
800127OtherNCPARTNERS
800127OtherNCCOMMUNITY EYE CARE

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
I20050215000227 NC Practitioner - Optometry 4385696632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecarecenter OD PAGroup PAC ID 7315834462, 71 clinicians

Practice addresses (Care Compare)

5850
74 Unit 6
Indian Trail, NC 28079-3400
Phone (704) 234-7355

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1651NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecarecenter OD PA Optometrist CurrentSince Mar 5, 2016 Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Mar 5, 2016 Accepting new patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
Charlotte Optometric Clinic, PA Optometrist Past Accepting new patients
Cabarrus Eye Center PA Optometrist Past Accepting new patients

Locations

1001 E Wt Harris Blvd
Ste H
Charlotte, NC 28213
Phone (704) 549-4523

819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020

Interoperability endpoints

  • Direct secure messaging: hsmith@direct.eyecare-partners.com

Organizations & group practices 5

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1750380796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E WT HARRIS BLVD",
            "address_2": "SUITE H",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134104",
            "telephone_number": "704-549-4523",
            "fax_number": "704-549-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E WT HARRIS BLVD",
            "address_2": "SUITE H",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134104",
            "telephone_number": "704-549-4523",
            "fax_number": "704-549-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HEATHER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "093TK",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900620",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "800127",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY EYE CARE",
            "identifier": "800127",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.