Providence Eye And Laser Specialists, Pc - Medicare Optometrist in Charlotte, NC

Providence Eye And Laser Specialists, Pc is a medicare enrolled "Optometrist" provider in Charlotte, North Carolina. Their current practice location is 3025 Springbank Ln, Suite 200, Charlotte, North Carolina. You can reach out to their office (for appointments etc.) via phone at (704) 540-9595.

Providence Eye And Laser Specialists, Pc is licensed to practice in North Carolina (license number 2000-00102) and it also participates in the medicare program. Providence Eye And Laser Specialists, Pc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1154367217.

Contact Information

Providence Eye And Laser Specialists, Pc
3025 Springbank Ln, Suite 200,
Charlotte, NC 28226-3362
(704) 540-9595
(704) 540-9616

Map and Direction




Healthcare Provider's Profile

Full NameProvidence Eye And Laser Specialists, Pc
TypeFacility
SpecialityOptometrist
Location3025 Springbank Ln, Charlotte, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154367217
  • Provider Enumeration Date: 06/20/2006
  • Last Update Date: 10/16/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4880698802
  • Enrollment ID: O20060906000382

Medical Identifiers

Medical identifiers for Providence Eye And Laser Specialists, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154367217NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 2000-00102 (North Carolina)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Providence Eye And Laser Specialists, Pc acts as a billing entity for following providers:
Provider NameDaniel P Gray
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1366435729
PECOS PAC ID: 6406830504
Enrollment ID: I20040616000534
Provider NameVanessa M Mills
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1912932112
PECOS PAC ID: 1759386469
Enrollment ID: I20060930000039
Provider NameApril Madaris
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1396078424
PECOS PAC ID: 3476690587
Enrollment ID: I20091022000146
Provider NameReza M Mozayeni
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1548290562
PECOS PAC ID: 8426052440
Enrollment ID: I20111118000233
Provider NameEdwin W Nunnery Iii
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1083057756
PECOS PAC ID: 7012284219
Enrollment ID: I20190823002304
Provider NameValerie Hsinyen Chen
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1750624987
PECOS PAC ID: 2466725239
Enrollment ID: I20191209000957

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Providence Eye And Laser Specialists, Pc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Providence Eye And Laser Specialists, Pc
3025 Springbank Ln, Suite 200,
Charlotte, NC 28226-3362

Ph: (704) 540-9595
Providence Eye And Laser Specialists, Pc
3025 Springbank Ln, Suite 200,
Charlotte, NC 28226-3362

Ph: (704) 540-9595

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.