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DR. PRIYA SHETH OD
NPI 1811397722
Optometrist in Charlotte, NC

Active since August 27, 2014PECOS EnrolledAccepts Medicare Assignment
8811 BLAKENEY PROFESSIONAL DR STE 100, CHARLOTTE, NC 28277(704) 926-3937(704) 926-3938 Get Directions Write a Review

NPPES record last updated: June 3, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Priya Sheth Od NPPES

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

DR. PRIYA SHETH OD (NPI 1811397722) is an individual optometrist in Charlotte, North Carolina, licensed in North Carolina (2401) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2014).

NPPES Registry Identity

NPI1811397722
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. PRIYA SHETHCredential: OD
Location Address8811 BLAKENEY PROFESSIONAL DR STE 100Charlotte, NC 28277-6599
Mailing Address8811 Blakeney Professional Dr Ste 100Charlotte, NC 28277-6599 · (704) 926-3937 · Fax (704) 926-3938
Phone(704) 926-3937
Fax(704) 926-3938
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2014
Enumeration DateAugust 27, 2014
Last NPPES UpdateJune 3, 2020
NPPES CertifiedJune 3, 2020
✔ NPI 1811397722 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 · 2401
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.
8811 BLAKENEY PROFESSIONAL DR STE 100, Charlotte, NC 28277
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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 Louisiana, Blue Cross and Blue Shield of Montana 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. Priya Sheth 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 ID5799031092
PECOS Enrollment IDI20180628001716
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 Reassignment

Medicare enrollment records show Priya Sheth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Piedmont Eye Care Associates, Od, PLLC
Same address
Optometrist
8811 BLAKENEY PROFESSIONAL DR, SUITE 100
Charlotte, NC 28277
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Piedmont Eyecare Associates Od PLLC
  • 9 clinicians in this Medicare group
NPI 1144322058 (704) 926-3937

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 9

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
63 services48 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
52 services52 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
35 services32 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.
32 services29 patients
Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
26 services13 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28277 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 3

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

KALENE FIX-MASTENBROOK O.D.
Optometrist
8811 BLAKENEY PROFESSIONAL DR STE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 926-3937
AMANDA HEYWARD OD
Optometrist
8811 BLAKENEY PROFESSIONAL DR STE 100
CHARLOTTE, NC 28277
Mecklenburg County (980) 333-6012
ANDREW BARROWS OD
Optometrist
8811 BLAKENEY PROFESSIONAL DR STE 100
CHARLOTTE, NC 28277
Mecklenburg County (980) 333-6012

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 Priya Sheth's NPI number?

The NPI number for Priya Sheth is 1811397722. It was assigned to this individual provider in the NPPES registry on August 27, 2014.

Where is Priya Sheth located?

Priya Sheth practices at 8811 Blakeney Professional Dr Ste 100, Charlotte, NC 28277. The listed phone number is (704) 926-3937.

What is Priya Sheth's specialty?

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

Is Priya Sheth enrolled in Medicare?

Yes. Priya Sheth 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 organization bills Medicare for Priya Sheth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priya Sheth reassigns Medicare benefits to Piedmont Eye Care Associates, Od, PLLC (Charlotte, NC). The 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 Priya Sheth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Priya Sheth accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Priya Sheth 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 Priya Sheth was last updated on June 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.