Active NPI
Jeffery John Pinkerton, O.D.
- Optometrist
- Kilgore, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4861TG
- Practice address
- 800 Highway 259 North
Kilgore, TX 75662 - Phone
- (903) 984-3101
- Fax
- (903) 984-5217
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- 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 | 4861TG | TX | Primary |
Addresses
Primary practice location
800 Highway 259 North
Kilgore, TX 75662
Mailing address
800 US Highway 259 N
Kilgore, TX 75662-6044
Phone (903) 984-3101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 066495503 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1993
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
206 E US Hwy 80
Suite G
White Oak, TX 75693-2136
Phone (903) 295-2015
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4861 | TX | MD | Sports Physician Chiropractor |
| 4861TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Eye Care, PLLC | Optometrist | Current | Accepting new patients |
| Craig Eye Associates | Past | Accepting new patients |
Locations
1600 US Highway 79 S
Henderson, TX 75654
Phone (903) 657-9571
800 US Highway 259 N
Kilgore, TX 75662
Phone (903) 984-3101
206 E US Highway 80
Ste G
White Oak, TX 75693
Phone (903) 295-2015
Organizations & group practices 2
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
- Kilgore, TX
- NPI 1336387810
-
- Eyewear Supplier
- Kilgore, TX
- NPI 1861524183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362700800000",
"number": "1417026451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 US HIGHWAY 259 N",
"city": "KILGORE",
"state": "TX",
"postal_code": "756626044",
"telephone_number": "903-984-3101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 HIGHWAY 259 NORTH",
"city": "KILGORE",
"state": "TX",
"postal_code": "75662",
"telephone_number": "903-984-3101",
"fax_number": "903-984-5217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINKERTON",
"first_name": "JEFFERY",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2013-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "4861TG",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "066495503",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kilgore, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; 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.