Charlotte Fae, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC6724 Issued in FL

Practice address

345 Clyde Morris Blvd Ste 330
Ormond Beach, FL 32174-3114

Phone

(386) 506-8389

NPI assigned

May 20, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Optometry

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tomoka Eye Associates PAGroup PAC ID 2163470436, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drcharlottefae@tomokaeye.direct.eyemdemr.com

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.

• Tomoka Eye Associates PA

  • Ophthalmology Physician
  • Ormond Beach, FL
  • NPI 1659321214
  Medicare reassignment Care Compare group NPD
• Tomoka Eye Associates, P.a.

  • Customized Equipment (DME)
  • Port Orange, FL
  • NPI 1891747176

  Optometrist

  NPD

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1891587481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 CLYDE MORRIS BLVD STE 330",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743114",
            "telephone_number": "386-672-4244",
            "fax_number": "386-672-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 CLYDE MORRIS BLVD STE 330",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743114",
            "telephone_number": "386-506-8389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "790 Dunlawton Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321274222",
            "country_code": "US",
            "telephone_number": "386-767-0053",
            "fax_number": "386-767-3490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAE",
        "first_name": "CHARLOTTE",
        "name_prefix": "Ms.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica L. O'Donnell Dopa
• Teri Essig, MPT
• Evolves Vascular Lab, LLC
• Eye Design Eyewear., LLC
• F&S Radiology, PC
• Dorothy M Fahey
• Kyla Faille, MD
• Jonathan Joseph Falcone, PA-C
• Magdy Fam
• Virginia Kathryn Famiglietti, LPTA

• Optometrist in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.