Individual provider Active NPI

Timothy J Poirier, O.D.

  • Optometrist
  • Knightdale, NC
National Provider Identifier
1053420638
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1646 Issued in NC
Practice address
742 McKnight Drive
Suite 100
Knightdale, NC 27545-7764
Phone
(919) 266-2048
Fax
(919) 266-4648
NPI assigned
Aug 29, 2006
Reactivated
Jan 24, 2007
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1646 NC Primary

Addresses

Primary practice location

742 McKnight Drive
Suite 100
Knightdale, NC 27545-7764

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other identifiers 4

IdentifierTypeStateIssuer
0904QOtherNCBCBS
1255491528OtherNCPRACTICE GROUP NPI
890904QMedicaidNC
2473142AOtherNCPRACTICE MEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080409000079 NC Practitioner - Optometry 6406941467 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knightdale Eyecare Optometric, P.a.Group PAC ID 2769577733, 3 clinicians

Practice addresses (Care Compare)

742 McKnight Dr
Knightdale, NC 27545-7764
Phone (919) 266-2048

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Institute OD Optometrist CurrentSince Jan 1, 2018 Accepting new patients
Tei-Wake Forest OD PLLC Optometrist CurrentSince May 12, 2024 Accepting new patients
Tei- Davidson OD Optometrist CurrentSince Aug 7, 2023 Accepting new patients
Knightdale Eyecare Optometric, P.a. Optometrist CurrentSince Nov 1, 2002 Accepting new patients
Good Looks, OD, PA Optometrist CurrentSince Jun 1, 2018 Accepting new patients
Wendell Eye Care Optometric PA Optometrist PastSince May 20, 2009 Accepting new patients

Locations

610 Jetton St
Ste 140
Davidson, NC 28036
Phone (352) 642-4542

742 McKnight Dr
Ste 100
Knightdale, NC 27545
Phone (919) 266-2048

712 Seaboard Station Dr
Raleigh, NC 27604
Phone (919) 200-4840

8511 Colonnade Center Dr
Ste 100
Raleigh, NC 27615
Phone (910) 527-9517

3211 Rogers Rd
Ste 100
Wake Forest, NC 27587
Phone (919) 453-1220

2495 Wendell Blvd
Wendell, NC 27591
Phone (919) 366-6599

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1053420638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 MCKNIGHT DRIVE",
            "address_2": "SUITE 100",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457764",
            "telephone_number": "919-266-2048",
            "fax_number": "919-266-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POIRIER",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "deactivation_date": "2006-12-27",
        "reactivation_date": "2007-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0904Q",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE GROUP NPI",
            "identifier": "1255491528",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890904Q",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE MEDICARE PIN",
            "identifier": "2473142A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

Verify at the official NPI Registry.