Shraeya Mehta, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2577 Issued in NC

Practice address

113 Country Club Dr NE
Concord, NC 28025-2935

Phone

(704) 786-7600

Fax

(704) 792-2131

NPI assigned

Jun 11, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyecarecenter OD PAGroup PAC ID 7315834462, shared by 4 NPIs, 71 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shraeyamehta@direct.eyecare-partners.com

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.

• Eyecarecenter OD PA

  • Optometrist
  • Cary, NC
  • NPI 1417973546
  Medicare reassignment NPD
• Eyecarecenter OD PA

  • Optometrist
  • Winston Salem, NC
  • NPI 1427599802
  Medicare reassignment NPD
• Eyecarecenter OD PA

  • Optometrist
  • Concord, NC
  • NPI 1851344253
  NPD
• Eyecarecenter, O.D., P.a.

  • Optometrist
  • Fayetteville, NC
  • NPI 1336876788
  NPD
• C.V. Sikes,Jr. & R.B. Gotschalk PTR

  • Optometrist
  • Sanford, NC
  • NPI 1083768311
  NPD (past)

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1972096345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 LAMP POST LN",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280819258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 COUNTRY CLUB DR NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252935",
            "telephone_number": "704-786-7600",
            "fax_number": "704-792-2131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2630 Peters Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271275655",
            "country_code": "US",
            "telephone_number": "336-785-3486",
            "fax_number": "336-785-3002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 S 6th Ave # 2-112A",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857230001",
            "country_code": "US",
            "telephone_number": "520-792-1450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5121 Reidsville Rd",
            "address_purpose": "LOCATION",
            "city": "Walkertown",
            "state": "NC",
            "postal_code": "270519770",
            "country_code": "US",
            "telephone_number": "336-595-4588",
            "fax_number": "336-595-6277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "SHRAEYA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2577",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2066",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Alexandra Medina, NP-C
• Megan Thompson Counseling & Consulting, PLLC
• Stacey Megrath
• Jordan Thayer Megratth
• Dhwani S Mehta, MD
• Susan Miskovich Mehta, FNP
• Vishal Jagdish Mehta, MD
• Michael John Meighen, MD
• Jessica Melara
• Rebeca Melendez Hernandez, LCAS

• Optometrist in Concord, NC
• Providers in Concord, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.

Verify at the official NPI Registry.