Individual provider Active NPI

Kevin James Ritter, O.D.

  • Optometrist
  • Hillsborough, NC
National Provider Identifier
1801870118
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2004 Issued in NC
Practice address
320 S Churton St
Hillsborough, NC 27278-2509
Phone
(919) 732-5000
Fax
(919) 732-6855
NPI assigned
Nov 30, 2005
Last updated
Apr 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2004 NC Primary
Optometrist 152W00000X 0618001487 VA
Optometrist 152W00000X 2593 TN

Addresses

Primary practice location

320 S Churton St
Hillsborough, NC 27278-2509

Mailing address

320 S Churton St
Hillsborough, NC 27278-2509
Phone (919) 732-5000

Other identifiers 2

IdentifierTypeStateIssuer
093UMOtherNCBCBS
5903112MedicaidNC

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
I20051220000279 NC Practitioner - Optometry 1850313735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Eye Center Doctors of Optometry PAGroup PAC ID 6901883362, 12 clinicians

Practice addresses (Care Compare)

927 Boston Dr
D3
Burlington, NC 27215-8232
Phone (336) 586-1960

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618001487VAMDOptometrist
2004NCMDPhysical Therapist
2593TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Center, Doctors of Optometry, P.a. Optometrist CurrentSince Apr 1, 2014 Accepting new patients
Clark Optometric Center PA Optometrist CurrentSince Dec 29, 2009 Accepting new patients
Carlyle Dukes Haywood, Jr. Optometrist Past Accepting new patients
Luxottica of America Inc Past Accepting new patients
Carlyle Dukes Haywood Jr Optometrist Past Accepting new patients

Locations

927 Boston Dr
#D3
Burlington, NC 27215
Phone (336) 586-1960

1107 Walnut St
Ste 100
Cary, NC 27511
Phone (919) 460-0155

11312 US 15 501 N
Ste 304
Chapel Hill, NC 27517
Phone (919) 933-6767

6910 Fayetteville Rd
Ste 296
Durham, NC 27713
Phone (919) 361-9488

302 Cross CRK Mall
Fayetteville, NC 28303
Phone (910) 867-0200

302 Cross CRK Mall
Fayetteville, NC 28303
Phone (910) 867-4466

320 S Churton St
Hillsborough, NC 27278
Phone (919) 732-5000

1829 Doctors Dr
Sanford, NC 27330
Phone (919) 776-2032

3500 Oleander Dr
Ste R55
Wilmington, NC 28403

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1801870118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S CHURTON ST",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272782509",
            "telephone_number": "919-732-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S CHURTON ST",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272782509",
            "telephone_number": "919-732-5000",
            "fax_number": "919-732-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITTER",
        "first_name": "KEVIN",
        "middle_name": "JAMES",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2004",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001487",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2593",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "093UM",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903112",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NC

Sources for this page

Verify at the official NPI Registry.