Individual provider Active NPI

Shalini Patel, O.D.

  • Optometrist
  • Charlotte, NC
National Provider Identifier
1770030249
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2463 Issued in NC
Practice address
8811 Blakeney Professional Dr
Suite 100
Charlotte, NC 28277-6598
Phone
(704) 926-3937
Fax
(704) 926-3938
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2463 NC Primary

Addresses

Primary practice location

8811 Blakeney Professional Dr
Suite 100
Charlotte, NC 28277-6598

Mailing address

8811 Blakeney Professional Drive
Suite 100
Charlotte, NC 28277
Phone (704) 926-3937

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
I20210111002131 NC Practitioner - Optometry 5597178624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Eyecare Associates OD PLLCGroup PAC ID 7012803570, 8 clinicians

Practice addresses (Care Compare)

8811 Blakeney Professional Dr
Suite 100
Charlotte, NC 28277-6599
Phone (704) 926-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2463NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Eye Care Associates, OD, PLLC Optometrist CurrentSince Jan 6, 2021 Accepting new patients

Locations

8811 Blakeney Professional Dr
Ste 100
Charlotte, NC 28277
Phone (704) 926-3937

5955 Weddington Rd
Ste 102
Wesley Chapel, NC 28104
Phone (704) 926-3937

Organizations & group practices 1

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1770030249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 BLAKENEY PROFESSIONAL DRIVE",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28277",
            "telephone_number": "704-926-3937",
            "fax_number": "704-926-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 BLAKENEY PROFESSIONAL DR",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776598",
            "telephone_number": "704-926-3937",
            "fax_number": "704-926-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHALINI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.