CHARLOTTE OPTOMETRY CENTER, O.D., PLLC
NPI 1558782821
Optometrist in Charlotte, NC

Q: What is Charlotte Optometry Center, O.D., PLLC's specialty?

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

Active since January 03, 2014

8701 JW CLAY BLVD, CHARLOTTE, NC 28262(704) 510-0816 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Charlotte Optometry Center, O.d., Pllc NPPES

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

CHARLOTTE OPTOMETRY CENTER, O.D., PLLC (NPI 1558782821) is a healthcare organization registered as an optometrist in Charlotte, North Carolina and active in the NPI registry since January 2014. The organization lists Lisa Carol Dudley, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1558782821

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameCHARLOTTE OPTOMETRY CENTER, O.D., PLLC

Location Address8701 JW CLAY BLVDCharlotte, NC 28262-5417

Mailing Address8701 Jw Clay BlvdCharlotte, NC 28262-5417 · (704) 510-0816

Phone(704) 510-0816

Organization SubpartNo

Authorized OfficialLisa Carol DudleyManaging Partner · (704) 510-0816

Enumeration DateJanuary 3, 2014

Last NPPES UpdateMarch 7, 2023

✔ NPI 1558782821 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 · 1924

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.

8701 JW CLAY BLVD, Charlotte, NC 28262

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Other Identifiers 1

Medicaid89093R5NC

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.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)

Charlotte Optometry Center, O.d., Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Charlotte Optometry Center, O.D., PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lisa Dudley, O.D.

Optometry

NPI 1891719845

3061 N SHARON AMITY RD
Charlotte, NC 28205

(704) 567-6755

✔ PECOS✔ Accepts Medicare7.6 mi

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 Charlotte Optometry Center, O.D., PLLC's NPI number?

The NPI number for Charlotte Optometry Center, O.D., PLLC is 1558782821. It was assigned to this organization in the NPPES registry on January 3, 2014.

Where is Charlotte Optometry Center, O.D., PLLC located?

Charlotte Optometry Center, O.D., PLLC is located at 8701 Jw Clay Blvd, Charlotte, NC 28262. The listed phone number is (704) 510-0816.

What is Charlotte Optometry Center, O.D., PLLC's specialty?

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

Is Charlotte Optometry Center, O.D., PLLC enrolled in Medicare?

Yes. Charlotte Optometry Center, O.D., PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Charlotte Optometry Center, O.D., PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Charlotte Optometry Center, O.D., 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Charlotte Optometry Center, O.D., PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Charlotte Optometry Center, O.D., 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 Charlotte Optometry Center, O.D., PLLC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.