GAETAN BANAWOE
NPI 1235813650
Optometrist in Charlotte, NC

Active since June 14, 2023PECOS EnrolledAccepts Medicare Assignment
9841 NORTHLAKE CENTRE PKWY, CHARLOTTE, NC 28216(704) 598-2468 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2024, Jun 14, 2023 (2 updates tracked since 2023).

About Gaetan Banawoe NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAETAN BANAWOE (NPI 1235813650) is an individual optometrist in Charlotte, North Carolina, licensed in North Carolina (2775) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rock Hill, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1235813650
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameGAETAN BANAWOE
Location Address9841 NORTHLAKE CENTRE PKWYCharlotte, NC 28216-8930
Mailing Address226 E 9th St Unit 615Charlotte, NC 28202-3543 · (434) 996-6124
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 14, 2023
Last NPPES UpdateApril 9, 20242 updates tracked since enumeration
NPPES CertifiedApril 9, 2024
NPI 1235813650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in NC · 2775 Licensed in SC · 2415
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.
9841 NORTHLAKE CENTRE PKWY, Charlotte, NC 28216

Secondary Practice Location 1

Location 12391 Dave Lyle Blvd Unit 106Rock Hill, SC 29730-8238 · Phone (803) 329-6464

Other Identifiers 1

Other2775NC · Optometry License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Gaetan Banawoe is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719415041
PECOS Enrollment IDI20250114001265
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
9841 NORTHLAKE CENTRE PKWY, TARGET PHARMACY 2080
CHARLOTTE, NC 28216
Pharmacist
9841 NORTHLAKE CENTRE PKWY
CHARLOTTE, NC 28216
Pharmacist
9841 NORTHLAKE CENTRE PKWY
CHARLOTTE, NC 28216
Pharmacist
9841 NORTHLAKE CENTRE PKWY
CHARLOTTE, NC 28216
Pharmacist
9841 NORTHLAKE CENTRE PKWY
CHARLOTTE, NC 28216
Optometrist
9841 NORTHLAKE CENTRE PKWY
CHARLOTTE, NC 28216
Pharmacist
9841 NORTHLAKE CENTRE PKWY
CHARLOTTE, NC 28216
Nurse Practitioner (Family)
9841 NORTHLAKE CENTRE PKWY
CHARLOTTE, NC 28216

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 Gaetan Banawoe's NPI number?

The NPI number for Gaetan Banawoe is 1235813650. It was assigned to this individual provider in the NPPES registry on June 14, 2023.

Where is Gaetan Banawoe located?

Gaetan Banawoe practices at 9841 Northlake Centre Pkwy, Charlotte, NC 28216. The listed phone number is (704) 598-2468.

What is Gaetan Banawoe's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Gaetan Banawoe enrolled in Medicare?

Yes. Gaetan Banawoe is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gaetan Banawoe accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of NC and 2 other insurers list Gaetan Banawoe 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 Gaetan Banawoe was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.