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DR. ALEXANDRA MARIE ROBERTSON OD
NPI 1679294276
Optometrist - Low Vision Rehabilitation in Charlotte, NC

Active since September 12, 2022PECOS EnrolledAccepts Medicare Assignment
2424 W MALLARD CREEK CHURCH RD STE D, CHARLOTTE, NC 28262(704) 295-0123 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Alexandra Marie Robertson Od NPPES

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

DR. ALEXANDRA MARIE ROBERTSON OD (NPI 1679294276) is an individual low vision rehabilitation provider in Charlotte, North Carolina, licensed in North Carolina (2707) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Southern College Of Optometry (2022).

NPPES Registry Identity

NPI1679294276
Entity TypeIndividualFemale
Primary Taxonomy152WL0500X
Provider Legal NameDR. ALEXANDRA MARIE ROBERTSONCredential: OD
Location Address2424 W MALLARD CREEK CHURCH RD STE DCharlotte, NC 28262-5800
Mailing Address2424 W Mallard Creek Church Rd Ste DCharlotte, NC 28262-5800 · (704) 295-0123
Phone(704) 295-0123
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2022
Enumeration DateSeptember 12, 2022
Last NPPES UpdateAugust 3, 2023
NPPES CertifiedAugust 3, 2023
✔ NPI 1679294276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Low Vision RehabilitationEye and Vision Services Providers
Taxonomy Code152WL0500X
License✔ Licensed in NC · 2707
Definition
Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.
2424 W MALLARD CREEK CHURCH RD STE D, Charlotte, NC 28262
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11613 Military Cutoff Rd Ste 230Wilmington, NC 28403-5745 · Phone (910) 256-6364 · Fax (910) 256-6617
Location 212105 Copper Way Ste 100Charlotte, NC 28277-1817 · Phone (704) 754-5935

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alexandra Marie Robertson Od 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 ID7214304526
PECOS Enrollment IDI20221028002765
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Alexandra Robertson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolina Family Eye Care Od PLLC
Same address
Optometrist
2424 W MALLARD CREEK CHURCH RD, STE D
Charlotte, NC 28262
  • Reassigned Medicare billing, North Carolina enrollment
  • 4 clinicians in this Medicare group
NPI 1700970423 (704) 295-0123
Edward L. Paul, Jr., O.D., Ph.D., P.A.
184 mi
Optometrist
1613 MILITARY CUTOFF RD STE 230
Wilmington, NC 28403
  • Reassigned Medicare billing, North Carolina enrollment
  • 6 clinicians in this Medicare group
NPI 1225231756 (910) 256-6364

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
81 services81 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
52 services52 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
44 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28262 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

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

CATHERINE ROSE DALUYIN OD
Optometrist
2424 W MALLARD CREEK CHURCH RD STE D
CHARLOTTE, NC 28262
Mecklenburg County (704) 295-0123

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 Alexandra Robertson's NPI number?

The NPI number for Alexandra Robertson is 1679294276. It was assigned to this individual provider in the NPPES registry on September 12, 2022.

Where is Alexandra Robertson located?

Alexandra Robertson practices at 2424 W Mallard Creek Church Rd Ste D, Charlotte, NC 28262. The listed phone number is (704) 295-0123.

What is Alexandra Robertson's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Low Vision Rehabilitation, with taxonomy code 152WL0500X.

Is Alexandra Robertson enrolled in Medicare?

Yes. Alexandra Robertson 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.

Which organizations bill Medicare for Alexandra Robertson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Robertson reassigns Medicare benefits to 2 organizations: Carolina Family Eye Care Od PLLC (Charlotte, NC) and Edward L. Paul, Jr., O.D., Ph.D., P.A. (Wilmington, NC). Each 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 Alexandra Robertson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexandra Robertson 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 9 other insurers list Alexandra Robertson 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 Alexandra Robertson was last updated on August 3, 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.