Individual provider Active NPI

Patrick Vollmer, O.D.

  • Optometrist
  • Shelby, NC
National Provider Identifier
1952784928
Registry record updated Sep 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1885 Issued in SC
Practice address
222 N Lafayette St Ste 11
Shelby, NC 28150-4450
Phone
(704) 487-4099
NPI assigned
Jul 8, 2015
Last updated
Sep 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1885 SC Primary

Addresses

Primary practice location

222 N Lafayette St Ste 11
Shelby, NC 28150-4450

Mailing address

222 N Lafayette St Ste 11
Shelby, NC 28150-4450
Phone (704) 487-4099

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
I20170103001457 NC Practitioner - Optometry 6709167869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

222 N Lafayette St
Suite 12
Shelby, NC 28150-4450
Phone (704) 487-4099

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2445NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
PMV Optometry, P.a. Optometrist CurrentSince Oct 10, 2016 Accepting new patients
Randy a. Omlor, OD PA Optometrist PastSince Oct 10, 2016 Accepting new patients

Locations

222 N Lafayette St
Ste 11
Shelby, NC 28150
Phone (314) 516-3718

222 N Lafayette St
Ste 12
Shelby, NC 28150
Phone (704) 487-4099

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": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789862400000",
    "number": "1952784928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N LAFAYETTE ST STE 11",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504450",
            "telephone_number": "704-487-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N LAFAYETTE ST STE 11",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504450",
            "telephone_number": "704-487-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLLMER",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-08",
        "last_updated": "2026-09-20",
        "certification_date": "2026-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

Verify at the official NPI Registry.