CHARLOTTE OPTOMETRIC CLINIC, PA
NPI 1699956227
Optometrist in Charlotte, NC

Q: What is Charlotte Optometric Clinic, PA's NPI number?

The NPI number for Charlotte Optometric Clinic, PA is 1699956227. It was assigned to this organization in the NPPES registry on November 26, 2007.

Q: What is Charlotte Optometric Clinic, PA's specialty?

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

Active since November 26, 2007

9425 SOUTH BLVD STE A, CHARLOTTE, NC 28273(704) 341-7676(704) 370-9751 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Charlotte Optometric Clinic, Pa NPPES

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

CHARLOTTE OPTOMETRIC CLINIC, PA (NPI 1699956227) is a healthcare organization registered as an optometrist in Charlotte, North Carolina and active in the NPI registry since November 2007. The organization lists Masherrill Koonce, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1699956227

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameCHARLOTTE OPTOMETRIC CLINIC, PA

Location Address9425 SOUTH BLVD STE ACharlotte, NC 28273-6900

Mailing Address9425 South Blvd Ste ACharlotte, NC 28273-6900 · (704) 341-7676 · Fax (704) 370-9751

Phone(704) 341-7676

Fax(704) 370-9751

Organization SubpartNo

Authorized OfficialMasherrill KoonceOptometrist · (704) 341-7676

Enumeration DateNovember 26, 2007

Last NPPES UpdateNovember 21, 2023

NPPES CertifiedNovember 21, 2023

✔ NPI 1699956227 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 · 1393

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.

9425 SOUTH BLVD STE A, Charlotte, NC 28273

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Other Identifiers 2

Medicaid890920GNC

Medicaid5918202NC

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 Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC, BlueCross BlueShield of Tennessee.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 Optometric Clinic, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Charlotte Optometric Clinic, PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Masherrill Koonce, O.D.

Optometry

NPI 1881647147

9425 SOUTH BLVD STE A
Charlotte, NC 28273

(704) 341-7676

✔ PECOS✔ Accepts MedicareSame address

Donnie Koonce, OD

Optometry

NPI 1558129817

1601 BRENNER AVE
Salisbury, NC 28144

(704) 560-7135

✔ PECOS45 mi

Brittany Morris

Optometry

NPI 1912766460

1601 BRENNER AVE
Salisbury, NC 28144

(800) 706-9126

✔ PECOS✔ Accepts Medicare45 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 Optometric Clinic, PA's NPI number?

The NPI number for Charlotte Optometric Clinic, PA is 1699956227. It was assigned to this organization in the NPPES registry on November 26, 2007.

Where is Charlotte Optometric Clinic, PA located?

Charlotte Optometric Clinic, PA is located at 9425 South Blvd Ste A, Charlotte, NC 28273. The listed phone number is (704) 341-7676.

What is Charlotte Optometric Clinic, PA's specialty?

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

Is Charlotte Optometric Clinic, PA enrolled in Medicare?

Yes. Charlotte Optometric Clinic, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Charlotte Optometric Clinic, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Charlotte Optometric Clinic, PA. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Charlotte Optometric Clinic, PA accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC and BlueCross BlueShield of Tennessee list Charlotte Optometric Clinic, PA 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 Optometric Clinic, PA was last updated on November 21, 2023. 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.