Jacob Paul Keener, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2880 Issued in NC

Practice address

2424 Century PL SE
Hickory, NC 28602-4031

Phone

(828) 322-2050

Fax

(828) 345-0522

NPI assigned

Sep 8, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Graystone Ophthalmology Associates, P.a.Group PAC ID 6709820236, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacob.keener.p1@direct.graystone-eye.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

• Graystone Ophthalmology Associates, PA

  • Ophthalmology Physician
  • Hickory, NC
  • NPI 1992660740
  Medicare reassignment Care Compare group NPD
• Graystone Eye Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Hickory, NC
  • NPI 1093960395
  NPD
• Graystone Ophthalmology Associates, P.a.

  • Ophthalmology Physician
  • Lenoir, NC
  • NPI 1205923240
  NPD
• Graystone Ophthalmology Associates, PA

  • Ophthalmology Physician
  • North Wilkesboro, NC
  • NPI 1245025048

  Optometrist

  NPD
• Graystone Ophthalmology Associates, PA

  • Ophthalmology Physician
  • Lincolnton, NC
  • NPI 1477640415
  NPD
• Graystone Ophthalmology Associates, P.a.

  • Ophthalmology Physician
  • Hickory, NC
  • NPI 1598700114
  NPD (past)

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1083595169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3445",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286033445",
            "telephone_number": "828-322-2050",
            "fax_number": "828-345-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 CENTURY PL SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024031",
            "telephone_number": "828-322-2050",
            "fax_number": "828-345-0522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2640 Highway 105 Ste 102",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286077828",
            "country_code": "US",
            "telephone_number": "828-322-2050 x6843",
            "fax_number": "828-345-0522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2311 E Main St",
            "address_purpose": "LOCATION",
            "city": "Lincolnton",
            "state": "NC",
            "postal_code": "280924103",
            "country_code": "US",
            "telephone_number": "828-322-2050 x6843",
            "fax_number": "828-345-0522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2060 Hickory Blvd SW",
            "address_purpose": "LOCATION",
            "city": "Lenoir",
            "state": "NC",
            "postal_code": "286456459",
            "country_code": "US",
            "telephone_number": "828-322-2050 x6843",
            "fax_number": "828-345-0522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "48 Boone Trl",
            "address_purpose": "LOCATION",
            "city": "North Wilkesboro",
            "state": "NC",
            "postal_code": "286593515",
            "country_code": "US",
            "telephone_number": "888-626-2020",
            "fax_number": "828-345-0522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEENER",
        "first_name": "JACOB",
        "middle_name": "PAUL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2880",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Katz
• Marc S Katz, P.A.-C
• Mark A Katz, M.D.
• Manpreet Kaur
• Brian G Kauth, MD
• Andrea Leigh Keever, PA-C
• Robert Andrew Keller, MD
• Angela Kellermeyer, PA
• Rachel Lucille Annette Kelly, DO
• Patrick James Kelty, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.