LAKE NORMAN EYE OD PA
NPI 1730363144
Optometrist in Mooresville, NC
About Lake Norman Eye Od Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE NORMAN EYE OD PA (NPI 1730363144) is a healthcare organization registered as an optometrist in Mooresville, North Carolina and active in the NPI registry since December 2007. The organization lists Angela S Harris, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted 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)
Lake Norman Eye Od Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Lake Norman Eye Od PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Lake Norman Eye Od PA's NPI number?
The NPI number for Lake Norman Eye Od PA is 1730363144. It was assigned to this organization in the NPPES registry on December 20, 2007.
Where is Lake Norman Eye Od PA located?
Lake Norman Eye Od PA is located at 548 Williamson Rd Ste 1, Mooresville, NC 28117. The listed phone number is (704) 799-2233.
What is Lake Norman Eye Od PA's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Lake Norman Eye Od PA enrolled in Medicare?
Yes. Lake Norman Eye Od PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake Norman Eye Od PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Lake Norman Eye Od 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 and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lake Norman Eye Od PA 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 1 other insurer list Lake Norman Eye Od 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 Lake Norman Eye Od PA was last updated on July 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Lake Norman Eye Od Pa · NPI 1730363144
Optometrist organization in Mooresville, North Carolina. Organization record, active in the CMS NPPES registry since December 20, 2007.
## Identity
- **NPI:** 1730363144 (Entity type: Organization)
- **Enumerated:** December 20, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Angela Harris, OWNER
## Practice location
- **Address:** 548 WILLIAMSON RD STE 1, Mooresville, NC 28117
- **Phone:** (704) 799-2233 · **Fax:** (704) 799-1567
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 31, 2018
- **Other identifiers:** Medicaid 890900T (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1730363144) · Data from the CMS NPPES public registry.