Jeffrey Scott Wilkins, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1972 Issued in NC

Practice address

476 Shotwell Rd Ste 104
Clayton, NC 27520-3506

Phone

(919) 553-8181

Fax

(919) 359-1504

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sands Optometric Services, PLLCGroup PAC ID 2163666959, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• S&S Optometric Services PLLC

  • Optometrist
  • Clayton, NC
  • NPI 1508111329
  Medicare reassignment Care Compare group NPD Authorized official
• Jeffrey Scott Wilkins, OD

  • Optometrist
  • Goldsboro, NC
  • NPI 1275889925
  NPD (past) Authorized official
• Eye 1 Optical

  • Customized Equipment (DME)
  • Goldsboro, NC
  • NPI 1164558110
  NPD (past)
• Eye Care Associates OD PA

  • Optometrist
  • Greensboro, NC
  • NPI 1528400223
  NPD (past)
• Eyecarecenter OD PA

  • Optometrist
  • Swansboro, NC
  • NPI 1427006188
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1891748232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 SHOTWELL RD STE 104",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275203506",
            "telephone_number": "919-553-8181",
            "fax_number": "919-359-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 SHOTWELL RD STE 104",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275203506",
            "telephone_number": "919-553-8181",
            "fax_number": "919-359-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89093RV",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC PIN",
            "identifier": "093RV",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "2473507D",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Barnnette Whitley
• Marika Patrycja Widmann, DNP
• Ashante Wiggins
• Vincent Kyle Wiggins, AGACNP
• Wigglestone Enterprises LLC Dba Keltic Belle
• William S Harvey III DDS 13 PLLC
• Jennifer Joann-Olson Williams, PT, DPT
• Kari Williams
• Keosha Williams
• Kristina Celeste Williams, FNP

• Optometrist in Clayton, NC
• Providers in Clayton, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.

Verify at the official NPI Registry.