Individual provider Active NPI

Jessica Robyn Oneil, OD

  • Optometrist
  • Swansboro, NC
National Provider Identifier
1366778979
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2163 Issued in NC
Practice address
775-1 West Corbett Ave
Swansboro, NC 28584-8563
Phone
(910) 326-3050
Fax
(910) 326-7088
NPI assigned
Nov 2, 2009
Last updated
Apr 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1632 SC
Optometrist 152W00000X 2163 NC Primary

Addresses

Primary practice location

775-1 West Corbett Ave
Swansboro, NC 28584-8563

Mailing address

PO Box 207261
Dallas, TX 75320-7261
Phone (636) 200-4393

Other practice location 1

113 Country Club Dr NE
Concord, NC 28025-2935
Phone (704) 786-7600

Other identifiers 1

IdentifierTypeStateIssuer
5913956MedicaidNC

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
I20091215000542 NC Practitioner - Optometry 9931249307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2008
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)

775 W Corbett Ave
Suite 1
Swansboro, NC 28584-8563
Phone (910) 326-3050

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1632SCMDOptician
2163NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince Jan 10, 2018 Accepting new patients
Eyecarecenter OD PA Optometrist Past Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist PastSince Mar 19, 2023 Accepting new patients

Locations

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

775 W Corbett Ave
Ste 1
Swansboro, NC 28584
Phone (910) 326-3050

Interoperability endpoints

  • Direct secure messaging: jessicaoneil@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": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1366778979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207261",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207261",
            "telephone_number": "636-200-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775-1 WEST CORBETT AVE",
            "city": "SWANSBORO",
            "state": "NC",
            "postal_code": "285848563",
            "telephone_number": "910-326-3050",
            "fax_number": "910-326-7088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Country Club Dr NE",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252935",
            "country_code": "US",
            "telephone_number": "704-786-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONEIL",
        "first_name": "JESSICA",
        "middle_name": "ROBYN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-02",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1632",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913956",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansboro, NC

Sources for this page

Verify at the official NPI Registry.