NPIMap

Organization Active NPI

Cel O.D. PLLC

  • Optometrist
  • Charlotte, NC
National Provider Identifier
1952532764
Registry record updated Aug 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2092 Issued in NC
Legal business name
CEL O.D. PLLC
Practice address
10230 Berkeley Place Dr
#140
Charlotte, NC 28262-1202
Phone
(704) 971-5002
NPI assigned
Jul 29, 2009
Last updated
Aug 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2009

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

Authorized official

Name
Christine Eileen Lemley, O.D.NPI 1629036660
Title
Optometrist
Phone
(704) 766-0345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2092 NC Primary

Addresses

Primary practice location

10230 Berkeley Place Dr
#140
Charlotte, NC 28262-1202

Mailing address

10230 Berkeley Place Dr
#140
Charlotte, NC 28262-1202
Phone (704) 971-5002

Other identifiers 1

IdentifierTypeStateIssuer
5911225MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Cel OD PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10230 Berkeley Place Dr
Ste 140
Charlotte, NC 28262
Phone (704) 971-5000

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1952532764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10230 BERKELEY PLACE DR",
            "address_2": "#140",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621202",
            "telephone_number": "704-971-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10230 BERKELEY PLACE DR",
            "address_2": "#140",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621202",
            "telephone_number": "704-971-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEL O.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "LEMLEY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "704-766-0345",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911225",
            "state": "NC"
        }
    ],
    "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 Aug 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.