Individual provider Active NPI

Keith Byron Nice, O.D.

  • Optometrist
  • Burlington, NC
National Provider Identifier
1144350216
Registry record updated Jan 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1504 Issued in NC
Practice address
2603 Holly Hill St
Burlington, NC 27215-5156
Phone
(336) 228-1766
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1504 NC Primary

Addresses

Primary practice location

2603 Holly Hill St
Burlington, NC 27215-5156

Mailing address

PO Box 1868
Burlington, NC 27216-1868
Phone (336) 228-1766

Other identifiers 1

IdentifierTypeStateIssuer
8909429MedicaidNC

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
I20210205002004 NC Practitioner - Optometry 4587783998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keith B. Nice, OD, PLLCGroup PAC ID 9931513454, 3 clinicians

Practice addresses (Care Compare)

2603 Holly Hill St
Burlington, NC 27215-5156
Phone (336) 228-1766

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1504NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Keith B. Nice, OD, PLLC Optometrist CurrentSince Jan 1, 2021 Accepting new patients

Locations

2603 Holly Hill St
Burlington, NC 27215
Phone (336) 228-1766

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515024000000",
    "number": "1144350216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1868",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272161868",
            "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": {
        "last_name": "NICE",
        "first_name": "KEITH",
        "middle_name": "BYRON",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2018-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909429",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.