Poole Eyecare PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

SC728 Issued in SC

Legal business name

POOLE EYECARE PA

Practice address

121 Bethel St
Clover, SC 29710-1101

Phone

(803) 222-9538

Fax

(803) 222-1898

NPI assigned

May 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin C Poole, ODNPI 1871550897

Title

President

Phone

(803) 222-9538

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Poole Eyecare PA

  • Optometrist
  • Kings MTN, NC
  • NPI 1962450098

  8729135603

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin C Poole, OD

  • Optometrist
  • Clover, SC
  • NPI 1871550897
  Medicare reassignment NPD Authorized official
• Zachary Barton Poole, MD

  • Ophthalmology Physician
  • Clover, SC
  • NPI 1790246585
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1699733501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 BETHEL ST",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297101101",
            "telephone_number": "803-222-9538",
            "fax_number": "803-222-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BETHEL ST",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297101101",
            "telephone_number": "803-222-9538",
            "fax_number": "803-222-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POOLE EYECARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-222-9538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "SC728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D07286",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simren Patel, PA-C
• Marion Patterson
• Abhinaya Muralidharan Perumbedu
• Jill Ann Pierce, MS, CCC/SLP
• Yasmin Plummer, LPN
• Benjamin C Poole, OD
• Zachary Barton Poole, MD
• Hali Porter, MCD, CCC-SLP
• Cheryl Moody Price, MSP, CCC-SLP
• Priceless Therapy Services, LLC

• Optometrist in Clover, SC
• Providers in Clover, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.