Active NPI
Jennifer Poole Wilcox, O.D.
- Optometrist
- Spartanburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- GA1858
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1803 | NC | MD | Marriage & Family Therapist |
| GA1858 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of South Carolina, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | Accepting new patients |
| Looking Glass Eye Center P a | Optometrist | Current | Accepting new patients |
| Looking Glass Eye Center PA | Optometrist | Current | Accepting new patients |
| Easy on the Eyes LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | Accepting new patients |
| Wilcox Optometry PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of South Carolina, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of South Carolina, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | Accepting new patients |
| Stinson Mobile Aud NC PLLC | Past | Accepting new patients | |
| Clark Optometric Center PA | Optometrist | Past | 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
- jennifer.wilcox.p3@direct.360care.nextgenshare.com
- 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.
-
- Optometrist
- Gaffney, SC
- NPI 1912574526
-
- Optometrist
- Rock Hill, SC
- NPI 1205248481
-
- Optometrist
- Charlotte, NC
- NPI 1023183563
-
- Optometrist
- Rocky Mount, NC
- NPI 1407529696
-
- Optometrist
- Indian Land, SC
- NPI 1093679961
-
- Optometrist
- Greer, SC
- NPI 1376935007
-
- Optometrist
- Monroe, NC
- NPI 1407737182
-
- Optometrist
- Hendersonville, NC
- NPI 1902462518
-
- Optometrist
- Durham, NC
- NPI 1588619217
-
- Audiologist
- Rocky Mount, NC
- NPI 1912472945
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.