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

Gaetan Banawoe

Individual provider Optometrist · NPI 1235813650

Gaetan Banawoe is an Optometry in Charlotte, North Carolina. Qualified in 2023, 3 years ago. Practices with Accuvision Eye Care OD, PA, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
3
Licensed in
NC, SC
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

9841 Northlake Centre Pkwy
Charlotte, NC 28216-8930
Phone: (704) 598-2468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2391 Dave Lyle Blvd Unit 106, Rock Hill, SC 29730-8238 — (803) 329-6464

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2775 (NC)
Optometrist Taxonomy 152W00000X · Licence 2415 (SC)

Record details

NPI number1235813650
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 14, 2023
Last updated in NPPESApril 9, 2024
Certification dateApril 9, 2024

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Accuvision Eye Care Od, Pa — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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