Active NPI
Keith P Poindexter, OD
- Optometrist
- Lumberton, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1773
- Practice address
- 4811 Fayetteville Rd
Lumberton, NC 28358-2111 - Phone
- (910) 739-3323
- Fax
- (910) 739-6489
- NPI assigned
- Aug 12, 2006
- Last updated
- Aug 14, 2019
- 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 | 1773 | NC | Primary |
Addresses
Primary practice location
4811 Fayetteville Rd
Lumberton, NC 28358-2111
Mailing address
1902 N Sandhills Blvd
Aberdeen, NC 28315-2382
Phone (910) 692-2020
Other practice location 1
1902 N Sandhills Blvd
Aberdeen, NC 28315-2382
Phone (910) 692-2020
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890926L | Medicaid | NC | |
| 410049407 | Other | RAILROAD MEDICARE | |
| B0444 | Other | MEDCOST | |
| FH7000080 | Other | FIRST CAROLINA CARE | |
| 0926L | Other | BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
160 Fox Hollow CT
Pinehurst, NC 28374-8510
Phone (910) 692-3937
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyecarecenter, O.D., P.a. | Optometrist | Current | Accepting new patients |
| Eyecarecenter OD PA | Optometrist | Current | Accepting new patients |
| Eyecarecenter OD PA | Optometrist | Current | Accepting new patients |
| Spectrum Family Eye Center Optometric PA | Optometrist | Current | Accepting new patients |
Locations
4811 Fayetteville Rd
Lumberton, NC 28358
Phone (910) 739-3323
160 Fox Hollow Ct
Pinehurst, NC 28374
Phone (910) 692-3937
819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020
Interoperability endpoints
- keithpoindexter@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.
-
- Optometrist
- Pinehurst, NC
- NPI 1912934704
-
- Optometrist
- Cary, NC
- NPI 1417973546
-
- Optometrist
- Swansboro, NC
- NPI 1427006188
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Firsthealth Bariatric Center
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
dba Firsthealth Regional EMS System
- Land Ambulance
- Pinehurst, NC
- NPI 1871610378
Hospital
-
dba FirstHealth Cancer Center
- Oncology Clinic/Center
- Pinehurst, NC
- NPI 1417010422
Hospital
-
dba FH Moore Regional Hospital (Acute)
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565740800000",
"number": "1427060201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1902 N SANDHILLS BLVD",
"city": "ABERDEEN",
"state": "NC",
"postal_code": "283152382",
"telephone_number": "910-692-2020",
"fax_number": "800-308-9356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4811 FAYETTEVILLE RD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582111",
"telephone_number": "910-739-3323",
"fax_number": "910-739-6489"
}
],
"practiceLocations": [
{
"address_1": "1902 N Sandhills Blvd",
"address_purpose": "LOCATION",
"city": "Aberdeen",
"state": "NC",
"postal_code": "283152382",
"country_code": "US",
"telephone_number": "910-692-2020",
"fax_number": "800-308-9356",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POINDEXTER",
"first_name": "KEITH",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2019-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1773",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890926L",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410049407",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "B0444",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST CAROLINA CARE",
"identifier": "FH7000080",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0926L",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lumberton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.