Individual provider Active NPI

Joel R Banks, O.D.

  • Optometrist
  • Havelock, NC
National Provider Identifier
1871667642
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1111 Issued in NC
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8909041MedicaidNC

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
I20080313000729 NC Practitioner - Optometry 6901981927 Reassigns benefits to 1 organization

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 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1111NCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Banks Eye Care OD PLLC Optometrist CurrentSince May 14, 2012 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.

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

Sources for this page

Verify at the official NPI Registry.