Individual provider Active NPI

Jeffery John Pinkerton, O.D.

  • Optometrist
  • Kilgore, TX
National Provider Identifier
1417026451
Registry record updated Mar 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4861TG Issued in TX
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

Updated by the provider on Mar 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
066495503MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090622000611 TX Practitioner - Optometry 8820149461 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
4861TXMDSports Physician Chiropractor
4861TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Eye Care, PLLC Optometrist CurrentSince Apr 23, 2009 Accepting new patients
Craig Eye Associates PastSince Apr 23, 2009 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.

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

Verify at the official NPI Registry.