Individual provider Active NPI

David Richard Neal

  • Optometrist
  • Charlotte, NC
National Provider Identifier
1922519156
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2015 Issued in SC
Practice address
500 Tyvola Rd
Charlotte, NC 28217-3504
Phone
(704) 501-2406
Fax
(980) 443-3579
NPI assigned
Oct 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2015 SC Primary

Addresses

Primary practice location

500 Tyvola Rd
Charlotte, NC 28217-3504

Mailing address

2506 McClintock Rd Unit 105
Charlotte, NC 28205-5252

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
I20210628000638 NC Practitioner - Optometry 5799031043 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sandra Nassar OD PLLCGroup PAC ID 3678943024, 3 clinicians

Practice addresses (Care Compare)

500 Tyvola Rd
Charlotte, NC 28217-3504
Phone (704) 501-2406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2533NCMDMarriage & Family Therapist
2015SCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Corte and Wruble, OD, PLLC Optometrist CurrentSince Jun 1, 2021 Accepting new patients
Ryan Leblanc OD PLLC Optometrist CurrentSince Apr 11, 2023 Accepting new patients
Sandra Nassar OD PLLC Optometrist CurrentSince Sep 1, 2022 Accepting new patients

Locations

6801 Northlake Mall Dr
Ste 253
Charlotte, NC 28216
Phone (704) 509-4366

500 Tyvola Rd
Charlotte, NC 28217
Phone (704) 501-2402

7735 N Tryon St
Charlotte, NC 28262
Phone (704) 547-0305

8111 Concord Mills Blvd
Ste 359
Concord, NC 28027
Phone (980) 258-6038

2420 Supercenter Dr NE
Kannapolis, NC 28083
Phone (704) 786-9200

392 Talbert Rd
Mooresville, NC 28117
Phone (980) 447-9750

Organizations & group practices 3

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": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1922519156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 MCCLINTOCK RD UNIT 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 TYVOLA RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173504",
            "telephone_number": "704-501-2406",
            "fax_number": "980-443-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "DAVID",
        "middle_name": "RICHARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-16",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.