Individual provider Active NPI

Patrick M Dooley, O.D.

  • Optometrist
  • Jacksonville, NC
National Provider Identifier
1275571051
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NC1415 Issued in NC
Practice address
314 Jacksonville Mall
Jacksonville, NC 28546-7316
Phone
(910) 353-9200
Fax
(910) 353-5459
NPI assigned
Jun 3, 2006
Last updated
Jan 31, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NC1415 NC Primary

Addresses

Primary practice location

314 Jacksonville Mall
Jacksonville, NC 28546-7316

Mailing address

314 Jacksonville Mall
Jacksonville, NC 28546-7316
Phone (910) 353-9200

Other identifiers 1

IdentifierTypeStateIssuer
890902KMedicaidNC

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
I20100426000258 NC Practitioner - Optometry 0143357053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecarecenter OD PAGroup PAC ID 7315834462, 71 clinicians

Practice addresses (Care Compare)

4130 Western Blvd
Jacksonville, NC 28546-6740
Phone (910) 353-9200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NC1415NCMDOptometrist
1415NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecarecenter OD PA Optometrist CurrentSince Aug 1, 1994 Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Aug 1, 1994 Accepting new patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
C.V. Sikes,Jr. & R.B. Gotschalk PTR Optometrist Past Accepting new patients

Locations

314 Jacksonville Mall
Jacksonville, NC 28546
Phone (910) 353-9200

4130 Western Blvd
Jacksonville, NC 28546
Phone (910) 353-9200

2001 S Glenburnie Rd
New Bern, NC 28562
Phone (252) 633-6900

819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ecp_ecc
  • Direct secure messaging: pdooley@direct.eyecare-partners.com

Organizations & group practices 4

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1275571051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 JACKSONVILLE MALL",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467316",
            "telephone_number": "910-353-9200",
            "fax_number": "910-353-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 JACKSONVILLE MALL",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467316",
            "telephone_number": "910-353-9200",
            "fax_number": "910-353-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "PATRICK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC1415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890902K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.