Keith B. Nice, OD, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KEITH B. NICE, OD, PLLC

Practice address

2603 Holly Hill St
Burlington, NC 27215-5156

Phone

(336) 228-1766

NPI assigned

Oct 14, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tami Nice

Title

Office Manager

Phone

(336) 228-1766

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Nice Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

Keith B Nice OD PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Keith B. Nice, OD, PLLC

  • Eyewear Supplier
  • Burlington, NC
  • NPI 1639444326
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ji Young Ahn, OD

  • Optometrist
  • Burlington, NC
  • NPI 1215713466
  Medicare reassignment Care Compare group NPD
• Keith Byron Nice, O.D.

  • Optometrist
  • Burlington, NC
  • NPI 1144350216
  Medicare reassignment Care Compare group NPD
• Jenna Lynn Roney, OD

  • Optometrist
  • Burlington, NC
  • NPI 1518484617
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1013515865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 HOLLY HILL ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155156",
            "telephone_number": "336-228-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 HOLLY HILL ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155156",
            "telephone_number": "336-228-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH B. NICE, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "NICE",
        "authorized_official_first_name": "TAMI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-228-1766"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1144350216",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083044515",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909429",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE DR. NICE",
            "identifier": "1504",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE DR. TOTTEN",
            "identifier": "2367",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nice Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nice Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kurian D Kasa, MD
• Katherine Jones, DDS, P.a.
• George Triantafilos Katsoudas, OD
• Charanpreet Kaur, FNP-C
• Jeremiah Keene
• Keith B. Nice, OD, PLLC
• Jorjanna Lee Kelley, PHARMD, CGP
• Glen Aaron Kelly
• Mark Windsor Kemp, DDS
• Deborah June Kennerson-Webb

• Optometrist in Burlington, NC
• Providers in Burlington, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.