Individual provider Active NPI

James Kent Doub, OD

  • Optometrist
  • Winston Salem, NC
National Provider Identifier
1811947567
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1330 Issued in NC
Practice address
3316 Silas Creek Pkwy
Winston Salem, NC 27103-3011
Phone
(336) 765-5350
Fax
(336) 983-3913
NPI assigned
May 11, 2006
Last updated
Apr 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1330 NC Primary

Addresses

Primary practice location

3316 Silas Creek Pkwy
Winston Salem, NC 27103-3011

Mailing address

3316 Silas Creek Pkwy
Winston Salem, NC 27103-3011
Phone (336) 765-5350

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
I20100308000530 NC Practitioner - Optometry 2466597083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardinal Eye Care ODGroup PAC ID 7012245202, 2 clinicians

Practice addresses (Care Compare)

3316 Silas Creek Pkwy
Winston Salem, NC 27103-3011
Phone (336) 765-5350

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1330NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cardinal Eye Care OD CurrentSince Sep 22, 2021 Accepting new patients
Triad Eye Associates of King PLLC Optometrist CurrentSince Feb 2, 2025 Accepting new patients
Beth Warren Optometrist PastSince Nov 1, 2020 Accepting new patients

Locations

306 Kirby Rd
King, NC 27021
Phone (336) 983-4313

3316 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 765-5350

Interoperability endpoints

  • Direct secure messaging: james.doub@uprisedirect.com

Organizations & group practices 3

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1811947567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 SILAS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033011",
            "telephone_number": "336-765-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 SILAS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033011",
            "telephone_number": "336-765-5350",
            "fax_number": "336-983-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUB",
        "first_name": "JAMES",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.