Individual provider Active NPI

Thomas K Mundorf, MD

  • Ophthalmology Physician
  • Charlotte, NC
National Provider Identifier
1821026980
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
27495 Issued in NC
Practice address
135 S Sharon Amity Rd Ste 100
Charlotte, NC 28211-3870
Phone
(704) 365-0555
Fax
(704) 367-8120
NPI assigned
Jun 29, 2006
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 27495 NC Primary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 27495 NC

Addresses

Primary practice location

135 S Sharon Amity Rd Ste 100
Charlotte, NC 28211-3870

Mailing address

PO Box 60160
Charlotte, NC 28260-0160
Phone (704) 365-0555

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100116000039 NC Practitioner - Ophthalmology 8527100338 Reassigns benefits to 1 organization
Practice locations: Charlotte, NC

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Eye Care PAGroup PAC ID 2163484072, 26 clinicians

Practice addresses (Care Compare)

135 S Sharon Amity Rd
Suite 100
Charlotte, NC 28211-3870
Phone (704) 365-0555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Retina and Vitreous Consultants, PA CurrentSince Sep 24, 2023 Accepting new patients

Locations

1718 E 4th St
Ste 908
Charlotte, NC 28204
Phone (704) 334-3222

Organizations & group practices 2

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1821026980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60160",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600160",
            "telephone_number": "704-365-0555",
            "fax_number": "704-367-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S SHARON AMITY RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282113870",
            "telephone_number": "704-365-0555",
            "fax_number": "704-367-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDORF",
        "first_name": "THOMAS",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "27495",
            "primary": true
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "NC",
            "license": "27495",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.