Organization Active NPI

Sie Eyecare, O.D., P.a.

  • Optometrist
  • Charlotte, NC
National Provider Identifier
1801099338
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1662 Issued in NC
Legal business name
SIE EYECARE, O.D., P.A.
Practice address
1913 J N Pease PL
Suite 201
Charlotte, NC 28262-4556
Phone
(704) 548-9888
Fax
(704) 548-0077
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Authorized official

Name
Dr. Amanda Ham Sie, O.D.NPI 1386622512
Title
President/Owner
Phone
(704) 548-9888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1662 NC Primary

Addresses

Primary practice location

1913 J N Pease PL
Suite 201
Charlotte, NC 28262-4556

Mailing address

1913 J N Pease PL
Suite 201
Charlotte, NC 28262-4556
Phone (704) 548-9888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050801000677 NC Part B Supplier - Clinic/Group Practice 5799713715 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

3230 Prosperity Church Rd
Charlotte, NC 28269
Phone (704) 510-3100

3230 Prosperity Church Rd
Ste 103
Charlotte, NC 28269
Phone (704) 548-9888

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1801099338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 J N PEASE PL",
            "address_2": "SUITE 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624556",
            "telephone_number": "704-548-9888",
            "fax_number": "704-548-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 J N PEASE PL",
            "address_2": "SUITE 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624556",
            "telephone_number": "704-548-9888",
            "fax_number": "704-548-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIE EYECARE, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "SIE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "HAM",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "704-548-9888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.