Poole Eyecare PA
A Medicare group practice based in Kings Mountain, NC: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8729135603), with 2 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8729135603
- Provider type
- DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
- Enrolled in
- NC, SC
- Enrollments
- 3
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20090409000708 | NC | Part B Supplier - Clinic/Group Practice | 1962450098 |
| O20100930090014 | NC | DME Supplier - Physician - Optometrist | 1962450098 |
| O20120413000290 | SC | Part B Supplier - Clinic/Group Practice | 1699733501 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Poole Eyecare PA
- Optometrist
- Clover, SC
- NPI 1699733501
-
Poole Eyecare PA
- Optometrist
- Kings MTN, NC
- NPI 1962450098
Practice locations
- Kings Mountain, NC2
- Clover, SC1
Clinicians 2
Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).
-
Benjamin C Poole, OD
- Optometrist
- Clover, SC
- NPI 1871550897
-
Zachary Barton Poole, MD
- Ophthalmology Physician
- Clover, SC
- NPI 1790246585
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.