Individual provider Active NPI

Thomas R. Kirby, OD

  • Optometrist
  • Whiteville, NC
National Provider Identifier
1265484737
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1548 Issued in NC
Practice address
2183 James B White Hwy N
Whiteville, NC 28472-8989
Phone
(910) 641-0011
Fax
(910) 641-0083
NPI assigned
May 16, 2006
Last updated
Dec 15, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1548 NC Primary

Addresses

Primary practice location

2183 James B White Hwy N
Whiteville, NC 28472-8989

Mailing address

2183 James B White Hwy N
Whiteville, NC 28472-8989
Phone (910) 641-0011

Other identifiers 1

IdentifierTypeStateIssuer
890913PMedicaidNC

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
I20120412000101 NC Practitioner - Optometry 1456512888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Vision Center OD PAGroup PAC ID 6103080627, 2 clinicians

Practice addresses (Care Compare)

2183 James B White N Hwy
Whiteville, NC 28472-8989
Phone (910) 641-0011

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1548NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Vision Center OD PA Optometrist CurrentSince Aug 1, 2001 Accepting new patients
Coastal Vision Center Optometrist Current Accepting new patients
Primary Vision Care Center, O.D., P.a. Optometrist Past Accepting new patients

Locations

2183 James B White Hwy N
Whiteville, NC 28472
Phone (910) 332-3562

33 S Kerr Ave
Wilmington, NC 28403
Phone (910) 792-0600

Interoperability endpoints

  • Direct secure messaging: admin@coastalvc.eyefinity-direct.com
  • Direct secure messaging: tkirby@coastalvc.eyefinity-direct.com
  • Direct secure messaging: tkirby@crhn.cernerdirect.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1265484737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2183 JAMES B WHITE HWY N",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284728989",
            "telephone_number": "910-641-0011",
            "fax_number": "910-641-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2183 JAMES B WHITE HWY N",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284728989",
            "telephone_number": "910-641-0011",
            "fax_number": "910-641-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "THOMAS",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890913P",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

Verify at the official NPI Registry.