Innovative Eye Care Od Pllc - Medicare Optometrist in Charlotte, NC

Innovative Eye Care Od Pllc is a medicare enrolled "Optometrist" provider in Charlotte, North Carolina. Their current practice location is 1710 Kenilworth Ave, Suite 210, Charlotte, North Carolina. You can reach out to their office (for appointments etc.) via phone at (704) 348-1500.

Innovative Eye Care Od Pllc is licensed to practice in North Carolina (license number 2225) and it also participates in the medicare program. Innovative Eye Care Od Pllc 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 1114201936.

Contact Information

Innovative Eye Care Od Pllc
1710 Kenilworth Ave, Suite 210,
Charlotte, NC 28203-5256
(704) 348-1500
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameInnovative Eye Care Od Pllc
TypeFacility
SpecialityOptometrist
Location1710 Kenilworth Ave, 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: 1114201936
  • Provider Enumeration Date: 09/29/2011
  • Last Update Date: 02/28/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 0042482515
  • Enrollment ID: O20111005000043

Medical Identifiers

Medical identifiers for Innovative Eye Care Od Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114201936NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 2225 (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. Innovative Eye Care Od Pllc acts as a billing entity for following providers:
Provider NameMichelle Mumford
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1821235706
PECOS PAC ID: 8224185004
Enrollment ID: I20111005000048
Provider NameCaroline Kaleel Fogleman
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1427570639
PECOS PAC ID: 5890040398
Enrollment ID: I20180625003093
Provider NameKara Elizabeth Barrett
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1811548167
PECOS PAC ID: 3779908900
Enrollment ID: I20200805002759
Provider NameSarah C Kenning
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1760943781
PECOS PAC ID: 7214352855
Enrollment ID: I20230130002527
Provider NameSydney Krisa
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1073258265
PECOS PAC ID: 0941670574
Enrollment ID: I20240404001720

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. Innovative Eye Care Od Pllc 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
Innovative Eye Care Od Pllc
1710 Kenilworth Ave, Suite 210,
Charlotte, NC 28203-5256

Ph: (704) 348-1500
Innovative Eye Care Od Pllc
1710 Kenilworth Ave, Suite 210,
Charlotte, NC 28203-5256

Ph: (704) 348-1500

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.