Active NPI
Joel R Banks, O.D.
- Optometrist
- Havelock, NC
National Provider Identifier
1871667642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1111
- Practice address
- 1401 E Main St
Havelock, NC 28532-1822 - Phone
- (252) 444-2020
- Fax
- (252) 444-2570
- NPI assigned
- Nov 20, 2006
- Last updated
- May 14, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1111 | NC | Primary |
Addresses
Primary practice location
1401 E Main St
Havelock, NC 28532-1822
Mailing address
1401 E Main St
Havelock, NC 28532-1822
Phone (252) 444-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8909041 | Medicaid | NC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1401 E Main St
Havelock, NC 28532-1822
Phone (252) 444-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1111 | NC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banks Eye Care OD PLLC | Optometrist | Current | Accepting new patients |
Locations
1401 E Main St
Havelock, NC 28532
Phone (252) 444-2020
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.
-
- Optometrist
- Havelock, NC
- NPI 1255532537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336953600000",
"number": "1871667642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 E MAIN ST",
"city": "HAVELOCK",
"state": "NC",
"postal_code": "285321822",
"telephone_number": "252-444-2020",
"fax_number": "252-444-2570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 E MAIN ST",
"city": "HAVELOCK",
"state": "NC",
"postal_code": "285321822",
"telephone_number": "252-444-2020",
"fax_number": "252-444-2570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "JOEL",
"middle_name": "R",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2012-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8909041",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Havelock, NC
- At Home With Dignity Incorporated
- Atlantic Sleep Center, LLC (Atalntic Sleep Center)
- Kurt William Backer, MD
- Cynthia Baldwin, CRDH
- Banks Eye Care OD PLLC
- Jean Basnight, DO
- Brandon Timothy Bazeluk
- Beachcare Urgent Medical Care Center of Havelock (Beachcare of Havelock)
- Benchmark Physical Therapy of NC, LLC
- Christopher Thomas Blair, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.