Individual provider Active NPI

Jennifer Poole Wilcox, O.D.

  • Optometrist
  • Spartanburg, SC
National Provider Identifier
1174570568
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
GA1858 Issued in GA
Practice address
705 E Main St
Spartanburg, SC 29302-1281
Phone
(864) 585-3281
Fax
(864) 515-4418
NPI assigned
May 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X GA1858 GA Primary

Addresses

Primary practice location

705 E Main St
Spartanburg, SC 29302-1281

Mailing address

705 E Main St
Spartanburg, SC 29302-1281
Phone (864) 585-3281

Other names 1

  • Jennifer Poole Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210518001955 NC Practitioner - Optometry 8527065457 Reassigns benefits to 3 organizations
I20220125002907 SC Practitioner - Optometry 8527065457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Looking Glass Eye Center P aGroup PAC ID 6901889617, 5 clinicians

Practice addresses (Care Compare)

215 Thompson St
Hendersonville, NC 28792-2808
Phone (828) 693-4161

705 E Main St
Spartanburg, SC 29302-1281
Phone (864) 585-3281

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1803NCMDMarriage & Family Therapist
GA1858GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of South Carolina, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Apr 16, 2022 Accepting new patients
Looking Glass Eye Center P a Optometrist CurrentSince Jun 29, 2025 Accepting new patients
Looking Glass Eye Center PA Optometrist CurrentSince Jun 29, 2025 Accepting new patients
Easy on the Eyes LLC Optometrist CurrentSince Sep 1, 2020 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Wilcox Optometry PLLC Optometrist CurrentSince Apr 28, 2021 Accepting new patients
Myeyedr Optometry of South Carolina, LLC Optometrist CurrentSince Sep 23, 2022 Accepting new patients
Myeyedr Optometry of South Carolina, LLC Optometrist CurrentSince Sep 23, 2022 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Apr 16, 2022 Accepting new patients
Stinson Mobile Aud NC PLLC Past Accepting new patients
Clark Optometric Center PA Optometrist PastSince Dec 30, 2017 Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

188 Medical Park Dr
Ste C
Brevard, NC 28712
Phone (828) 884-7320

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

215 Thompson St
Hendersonvlle, NC 28792
Phone (828) 693-4161

327 Hillsborough St
Raleigh, NC 27603

800 Tiffany Blvd
Ste 101
Rocky Mount, NC 27804

1502 W Floyd Baker Blvd
Gaffney, SC 29341
Phone (864) 489-9979

812 W Wade Hampton Blvd
Greer, SC 29650
Phone (864) 877-1825

1268 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 327-2001

705 E Main St
Spartanburg, SC 29302
Phone (864) 585-3281

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: jennifer.wilcox.p3@direct.360care.nextgenshare.com
  • Direct secure messaging: jennifer.wilcox.p13@direct.360care.nextgenshare.com

Organizations & group practices 12

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1174570568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E MAIN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021281",
            "telephone_number": "864-585-3281",
            "fax_number": "770-577-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E MAIN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021281",
            "telephone_number": "864-585-3281",
            "fax_number": "864-515-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "JENNIFER",
        "middle_name": "POOLE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "GA1858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "POOLE",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.