DR. MICHELLE KATHLEEN MUMFORD (NPI# 1821235706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821235706 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE KATHLEEN MUMFORD |
| Credential | O.D. |
| Practice Address |
1710 Kenilworth Ave Suite 210 Charlotte NC 28203-5256 |
| Practice Telephone | 7043481500 |
| Mailing Telephone | 7043481500 |
| Mailing Fax Number | 7049190289 |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2016-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2225 | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE PTAN | NC2110A342 | 01 |
| Street Address |
1710 KENILWORTH AVE SUITE 210 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28203-5256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114201936 | Innovative Eye Care Od Pllc | Optometrist | 1710 Kenilworth Ave, Suite 210, Charlotte, NC 28203-5256 | 2011-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
| 1922636927 | Paulina M Kriska | Dentist | Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-03-27 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1205499316 | James C Winnek | Counselor | 1713 East Blvd., Charlotte, NC 28203 | 2019-04-16 |
| 1487114492 | Laurie Fford Counseling and Consulting Pllc | Counselor | 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 | 2019-03-25 |
| 1184188815 | Sunday Money | Home Health | 2151 Hawkins St., Suite 201, Charlotte, NC 28203 | 2019-01-28 |
| 1164902706 | Lindsay Koonce Helton | Dietitian, Registered | 1218 East Blvd Ste G, Charlotte, NC 28203 | 2018-08-14 |
| 1376057406 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 | 2017-11-28 |
| 1043733306 | Kimberly Stripp | Pharmacist | 1300-b East Blvd, Charlotte, NC 28203 | 2017-07-19 |
| 1427570639 | Caroline Kaleel Fogleman | Optometrist | 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 | 2017-07-10 |
| Find all providers in zip 28203 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962026534 | Francis Xavier Parr IIi | Optometrist | 7711 Arboretum Dr Apt 204, Charlotte, NC 28270-0016 | 2020-05-29 |
| 1992353825 | National Vision Inc | Optometrist | 14141 Steele Creek Rd Ste 400, Charlotte, NC 28273-4231 | 2019-09-04 |
| 1710535778 | Spencer Elise Moore | Optometrist | 100 N Tryon St Ste 280, Charlotte, NC 28202-4004 | 2019-09-03 |
| 1134773534 | Shannon Kirchmer | Optometrist | 4407 Mountain Cove Dr, Charlotte, NC 28216-7787 | 2019-07-25 |
| 1295387637 | Excel Eyecare Od Pa | Optometrist | 14154 Steele Creek Rd, Ste 200, Charlotte, NC 28273 | 2019-07-16 |
| 1679042741 | Sapounas Optometry Services, LLC | Optometrist | 4704 South Blvd Ste A, Charlotte, NC 28217-2745 | 2018-11-19 |
| 1376012534 | Jannifer Shin | Optometrist | 7615 Colony Rd Ste 105, Charlotte, NC 28226-5018 | 2018-11-17 |
| 1265927040 | Ryan Wirkus | Optometrist | 7808 S Tryon St Ste D, Charlotte, NC 28273-4299 | 2018-06-25 |
| 1427570639 | Caroline Kaleel Fogleman | Optometrist | 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 | 2017-07-10 |
| 1629522883 | Yesha Gami | Optometrist | 3506 W Tyvola Rd Fl 3, Charlotte, NC 28208-7201 | 2016-08-05 |
| Find all providers in CHARLOTTE | ||||
Please comment or provide details below to improve the information on DR. MICHELLE KATHLEEN MUMFORD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.