INNOVATIVE EYE CARE OD PLLC
NPI 1114201936
Optometrist in Charlotte, NC
About Innovative Eye Care Od Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INNOVATIVE EYE CARE OD PLLC (NPI 1114201936) is a healthcare organization registered as an optometrist in Charlotte, North Carolina and active in the NPI registry since September 2011. The organization lists Michelle Kathleen Mumford, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Innovative Eye Care Od Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Innovative Eye Care Od PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Innovative Eye Care Od PLLC's NPI number?
The NPI number for Innovative Eye Care Od PLLC is 1114201936. It was assigned to this organization in the NPPES registry on September 29, 2011.
Where is Innovative Eye Care Od PLLC located?
Innovative Eye Care Od PLLC is located at 1710 Kenilworth Ave Suite 210, Charlotte, NC 28203. The listed phone number is (704) 348-1500.
What is Innovative Eye Care Od PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Innovative Eye Care Od PLLC enrolled in Medicare?
Yes. Innovative Eye Care Od PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Innovative Eye Care Od PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Innovative Eye Care Od PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Innovative Eye Care Od PLLC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Innovative Eye Care Od PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Innovative Eye Care Od PLLC was last updated on February 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Innovative Eye Care Od Pllc · NPI 1114201936
Optometrist organization in Charlotte, North Carolina. Organization record, active in the CMS NPPES registry since September 29, 2011.
## Identity
- **NPI:** 1114201936 (Entity type: Organization)
- **Enumerated:** September 29, 2011
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Michelle Mumford, OWNER
## Practice location
- **Address:** 1710 KENILWORTH AVE, SUITE 210, Charlotte, NC 28203-5256
- **Phone:** (704) 348-1500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 28, 2012
- **Other identifiers:** Medicare PIN A342 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1114201936) · Data from the CMS NPPES public registry.