Individual provider Active NPI

Michele Philbrick Keel, OD

  • Optometrist
  • Pinehurst, NC
National Provider Identifier
1821065418
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1462 Issued in NC
Practice address
160 Fox Hollow CT
Pinehurst, NC 28374-8510
Phone
(910) 692-3937
Fax
(910) 692-5908
NPI assigned
Mar 2, 2006
Last updated
Feb 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1462 NC Primary

Addresses

Primary practice location

160 Fox Hollow CT
Pinehurst, NC 28374-8510

Mailing address

160 Fox Hollow CT
Pinehurst, NC 28374-8510
Phone (910) 692-3937

Other identifiers 3

IdentifierTypeStateIssuer
0905BOtherBCBS
890903CMedicaidNC
890905BMedicaidNC

Other names 1

  • Miss Michele Marie Philbrick Former name

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
I20080415000264 NC Practitioner - Optometry 9739267840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1992
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

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

State licenses

LicenseStateTypeSpecialty
1462NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Family Eye Center Optometric PA Optometrist CurrentSince May 11, 2009 Accepting new patients

Locations

160 Fox Hollow Ct
Pinehurst, NC 28374
Phone (910) 692-3937

Organizations & group practices 1

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1821065418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 FOX HOLLOW CT",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748510",
            "telephone_number": "910-692-3937",
            "fax_number": "910-692-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 FOX HOLLOW CT",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748510",
            "telephone_number": "910-692-3937",
            "fax_number": "910-692-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEL",
        "first_name": "MICHELE",
        "middle_name": "PHILBRICK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0905B",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890903C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890905B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "PHILBRICK",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.