James M Kernodle Jr., OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1764 Issued in NC

Practice address

328 A N. Fayetteville Street
Asheboro, NC 27203-5531

Phone

(336) 625-2020

Fax

(336) 629-2030

NPI assigned

Jun 14, 2005

Reactivated

Mar 31, 2006

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, 1999

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nova@nova.eyeclinicdirect.net

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.

• Nova Eye Care OD PA

  • Optometrist
  • Asheboro, NC
  • NPI 1609018019
  Medicare reassignment NPD Authorized official
• Triad Eye Associates of Asheboro OD PA

  • Optometrist
  • Asheboro, NC
  • NPI 1205894292
  NPD (past) Authorized official
• Triad Eye Associates OD PA

  • Optometrist
  • Archdale, NC
  • NPI 1649228669
  NPD (past)
• Triad Eye Associates of High Point OD PA

  • Optometrist
  • High Point, NC
  • NPI 1255399499
  NPD (past)

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1154326528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 A N. FAYETTEVILLE STREET",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035531",
            "telephone_number": "336-625-2020",
            "fax_number": "336-629-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 A N. FAYETTEVILLE STREET",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035531",
            "telephone_number": "336-625-2020",
            "fax_number": "336-629-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERNODLE",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2014-09-24",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "0926A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney L Kelly, M.S. CCC-SLP
• Kimberly Lynne Kenan
• Caitlyn Kendrick
• Craig Kerbo, P.T.
• Ashley Pfannenstiel Kern, DNP AGNP
• Key to Wellness NP, PLLC
• Tyler Brooks Keziah, LPC, LCAS, CSI
• KGR Health and Wellness Academy, LLC
• Khan DDS
• Jaber A. Khan, MD

• Optometrist in Asheboro, NC
• Providers in Asheboro, 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, 2014; 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.