Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kathy Diane Halverson, OD

Individual provider Optometrist · NPI 1083669956

Dr. Kathy Diane Halverson, OD is an Optometry in Charlotte, North Carolina. Qualified in 1991, 35 years ago. Practices with Ryan Leblanc OD PLLC, a 20-clinician group and accepts Medicare assignment. Licensed in North Carolina, New Mexico and South Carolina.

Years since qualifying
35
Licensed in
NC, NM, SC
In the registry since
2006
Specialties on file
3
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

3506 W Tyvola Rd
Charlotte, NC 28208-7201
Phone: (704) 329-1300
Fax: (704) 357-7539
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2457 (NM)
Optometrist Taxonomy 152W00000X · Licence 2152 (SC)
Optometrist Taxonomy 152W00000X · Licence 2194 (NC)

Record details

NPI number1083669956
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedMay 22, 2006
Last updated in NPPESMay 18, 2020
Certification dateMay 18, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Ryan Leblanc Od Pllc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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