Providence Eye and Laser Specialists, PC
NPI 1154367217 · Optometrist · Charlotte, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Providence Eye and Laser Specialists, PC is a Optometrist organization in Charlotte, NC (NPI 1154367217).
Provider details
- NPI number
- 1154367217
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Rey Wilson, Office Manager(704) 540-9595
- License
- 2000-00102 (NC)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-20
- Last updated
- 2012-10-16
Frequently asked questions
- What is Providence Eye and Laser Specialists, PC's NPI number?
- Providence Eye and Laser Specialists, PC's National Provider Identifier (NPI) is 1154367217, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Eye and Laser Specialists, PC?
- Providence Eye and Laser Specialists, PC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Providence Eye and Laser Specialists, PC located?
- Providence Eye and Laser Specialists, PC's practice location on file with NPPES is 3025 Springbank Ln, Charlotte, NC 28226-3362.
- What is Providence Eye and Laser Specialists, PC's phone number?
- The practice phone number listed in the NPPES registry for Providence Eye and Laser Specialists, PC is (704) 540-9595.
- Does Providence Eye and Laser Specialists, PC accept Medicare?
- Providence Eye and Laser Specialists, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Providence Eye and Laser Specialists, PC?
- The authorized official listed on Providence Eye and Laser Specialists, PC's NPPES record is Rey Wilson, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Eye and Laser Specialists, PC's NPI active?
- Yes — Providence Eye and Laser Specialists, PC's NPI (1154367217) is active in the NPPES registry as of the last update on 2012-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.