Midwood Eye Optometry PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MIDWOOD EYE OPTOMETRY PLLC

Practice address

2501 The Plaza
Suite 2
Charlotte, NC 28205

Phone

(704) 317-7717

Fax

(704) 317-7718

NPI assigned

Jan 25, 2021

Organization subpart

No

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

Authorized official

Name

Amanda HeywardNPI 1518489723

Title

Member

Phone

(919) 819-3337

Specialties & licenses 1

Addresses

Other names 1

• Midwood Eye Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Amanda Heyward, OD

  • Optometrist
  • Charlotte, NC
  • NPI 1518489723
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1871183780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 CLEMSON AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051966",
            "telephone_number": "919-819-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 THE PLAZA",
            "address_2": "SUITE 2",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28205",
            "telephone_number": "704-317-7717",
            "fax_number": "704-317-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWOOD EYE OPTOMETRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "HEYWARD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "919-819-3337"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwood Eye",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midwood Eye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Midtown & Gynecology Associates P.a.
• Midtown Home Health Care Inc
• Midway Health Care
• Midway Healthcare
• Midwood Counseling, PLLC.
• Jaclyn M Mieczkowski, FNP
• Katherine Marie Mielke, MD
• Nicole Adela Mielnicki, LCSWA
• Amy Diane Mierzwa, DPT
• Jakub Mieszczak, MD

• Optometrist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.