Active NPI
Eyra Aku Tamakloe, OD
- Optometrist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2710
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3758 | MN | MD | Mental Health Counselor |
| 2710 | NC | MD | Clinical Child & Adolescent Psychologist |
| 3758 | NC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baxter J. Smith Jr., OD, PA | Optometrist | Current | Accepting new patients |
| Healthdrive Optometry Group of N.C., P.a. | Optometrist | Current | 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.
-
- Optometrist
- Charlotte, NC
- NPI 1780484766
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.