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INNOVATIVE EYE CARE OD PLLC
NPI 1114201936
Optometrist in Charlotte, NC

Active since September 29, 2011
1710 KENILWORTH AVE, SUITE 210, CHARLOTTE, NC 28203(704) 348-1500 Get Directions Write a Review

NPPES record last updated: February 28, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1114201936
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameINNOVATIVE EYE CARE OD PLLC
Location Address1710 KENILWORTH AVE, SUITE 210Charlotte, NC 28203-5256
Mailing Address1710 Kenilworth Ave, Suite 210Charlotte, NC 28203-5256 · (704) 348-1500 · Fax (704) 919-0289
Phone(704) 348-1500
Organization SubpartNo
Authorized OfficialMichelle Kathleen MumfordOwner · (704) 348-1500
Enumeration DateSeptember 29, 2011
Last NPPES UpdateFebruary 28, 2012
✔ NPI 1114201936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NC · 2225
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1710 KENILWORTH AVE, Charlotte, NC 28203
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Other Identifiers 1

Medicare PINA342NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, BlueCross BlueShield of Tennessee.Insurance ›

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.

What insurance does Innovative Eye Care Od PLLC accept?

Health plans from Blue Cross and Blue Shield of NC and BlueCross BlueShield of Tennessee 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.