Individual provider Active NPI

Keith P Poindexter, OD

  • Optometrist
  • Lumberton, NC
National Provider Identifier
1427060201
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1773 Issued in NC
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
890926LMedicaidNC
410049407OtherRAILROAD MEDICARE
B0444OtherMEDCOST
FH7000080OtherFIRST CAROLINA CARE
0926LOtherBCBS

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
I20080128000808 NC Practitioner - Optometry 6305928474 Reassigns benefits to 2 organizations

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
Spectrum Family Eye Center Optometric PAGroup PAC ID 0042268971, 3 clinicians

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 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Aug 14, 2019 Accepting new patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince Aug 14, 2019 Accepting new patients
Spectrum Family Eye Center Optometric PA Optometrist CurrentSince Feb 3, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.