Individual provider Active NPI

Eyra Aku Tamakloe, OD

  • Optometrist
  • Charlotte, NC
National Provider Identifier
1922670876
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2710 Issued in NC
Practice address
5960 Fairview Rd Ste 300
Charlotte, NC 28210-0202
Phone
(888) 964-6681
Fax
(888) 662-0859
NPI assigned
Jul 12, 2021
Last updated
Nov 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3758 MN
Optometrist 152W00000X 2710 NC Primary

Addresses

Primary practice location

5960 Fairview Rd Ste 300
Charlotte, NC 28210-0202

Mailing address

100 Crossing Blvd Ste 300
Framingham, MA 01702-5555
Phone (888) 964-6681

Other practice location 1

7600 France Ave S Ste 1100
Edina, MN 55435-5936
Phone (888) 964-6681

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
I20221221000233 NC Practitioner - Optometry 1951799709 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthdrive Optometry Group of N.C., P.a.Group PAC ID 0941714943, 4 clinicians
Baxter J Smith Jr OD PAGroup PAC ID 1456514876, 4 clinicians

Practice addresses (Care Compare)

5960 Fairview Rd
Suite 300
Charlotte, NC 28210-0202
Phone (888) 964-6681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3758MNMDMental Health Counselor
2710NCMDClinical Child & Adolescent Psychologist
3758NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Baxter J. Smith Jr., OD, PA Optometrist CurrentSince Oct 3, 2022 Accepting new patients
Healthdrive Optometry Group of N.C., P.a. Optometrist CurrentSince Jun 15, 2025 Accepting new patients

Locations

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

5960 Fairview Rd
Ste 300
Charlotte, NC 28210
Phone (704) 441-8715

9200 Glenwater Dr
Charlotte, NC 28262
Phone (704) 548-0509

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": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1922670876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CROSSING BLVD STE 300",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017025555",
            "telephone_number": "888-964-6681",
            "fax_number": "339-686-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 FAIRVIEW RD STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282100202",
            "telephone_number": "888-964-6681",
            "fax_number": "888-662-0859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 France Ave S Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554355936",
            "country_code": "US",
            "telephone_number": "888-964-6681",
            "fax_number": "339-686-2561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAMAKLOE",
        "first_name": "EYRA",
        "middle_name": "AKU",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3758",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.