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DR. LISA CAROL DUDLEY O.D.
NPI 1891719845
Optometrist in Charlotte, NC

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
3061 N SHARON AMITY RD, CHARLOTTE, NC 28205(704) 567-6755(704) 567-0238 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Lisa Carol Dudley O.d. NPPES

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

DR. LISA CAROL DUDLEY O.D. (NPI 1891719845) is an individual optometrist in Charlotte, North Carolina, licensed in North Carolina (1924) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2003).

NPPES Registry Identity

NPI1891719845
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. LISA CAROL DUDLEYCredential: O.D.
Location Address3061 N SHARON AMITY RDCharlotte, NC 28205-6600
Mailing Address3515 Selwyn AveCharlotte, NC 28209-3501 · (704) 521-2719 · Fax (704) 567-0238
Phone(704) 567-6755
Fax(704) 567-0238
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2003
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1891719845 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.
3061 N SHARON AMITY RD, Charlotte, NC 28205
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Other Identifiers 3

Medicare ID-Type Unspecified2473277NC
Medicare UPINU99011NC
Medicaid89093R5NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Oscar Health Plan of North Carolina, Inc.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. Lisa Carol Dudley O.d. 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 ID8123016664
PECOS Enrollment IDI20040504000744
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 Lisa Dudley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Charlotte Optometry Center, O.D., PLLC
7.6 mi
Optometrist
8701 JW CLAY BLVD
Charlotte, NC 28262
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Charlotte Optometry Center Od PLLC
NPI 1558782821 (704) 510-0816

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 2

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 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.
45 services41 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
16 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28205 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 2

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

VISIONWORKS, INC.
Eyewear Supplier
3061 N SHARON AMITY RD
CHARLOTTE, NC 28205
Mecklenburg County (704) 567-6076
CHARLOTTE OPTOMETRY GROUP PA
Optometrist
3061 N SHARON AMITY RD
CHARLOTTE, NC 28205
Mecklenburg County (704) 567-6755

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 Lisa Dudley's NPI number?

The NPI number for Lisa Dudley is 1891719845. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Lisa Dudley located?

Lisa Dudley practices at 3061 N Sharon Amity Rd, Charlotte, NC 28205. The listed phone number is (704) 567-6755.

What is Lisa Dudley's specialty?

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

Is Lisa Dudley enrolled in Medicare?

Yes. Lisa Dudley 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 Lisa Dudley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Dudley reassigns Medicare benefits to Charlotte Optometry Center, O.D., 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 Lisa Dudley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Dudley accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Oscar Health Plan of North Carolina, Inc list Lisa Dudley 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 Lisa Dudley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.