Individual provider Active NPI

Kent James Risk, O.D.

  • Optometrist
  • Fayetteville, NC
National Provider Identifier
1902876311
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1555 Issued in NC
Practice address
216 Northstone PL
Fayetteville, NC 28303-5494
Phone
(910) 527-9517
NPI assigned
Jan 26, 2006
Last updated
Aug 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1555 NC Primary

Addresses

Primary practice location

216 Northstone PL
Fayetteville, NC 28303-5494

Mailing address

216 Northstone PL
Fayetteville, NC 28303-5494
Phone (910) 527-9517

Other identifiers 3

IdentifierTypeStateIssuer
0900EOtherNCBLUE CROSS BLUE SHIELD
2238851OtherNCUNITED HEALTHCARE
890900EMedicaidNC

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
I20070625000309 NC Practitioner - Optometry 4385537000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Risk Optometric Associates, PAGroup PAC ID 8325110034, 7 clinicians

Practice addresses (Care Compare)

216 Northstone PL
Fayetteville, NC 28303-5494

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1555NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Risk Optometric Associates, PA Optometrist CurrentSince Sep 1, 1997 Accepting new patients

Locations

250 Turner St
Aberdeen, NC 28315
Phone (910) 692-5171

1515 Skibo Rd
Fayetteville, NC 28303
Phone (910) 868-3910

1550 Skibo Rd
Fayetteville, NC 28303
Phone (910) 868-3910

4601 Ramsey St
Fayetteville, NC 28311
Phone (910) 488-2828

7701 S Raeford Rd
Fayetteville, NC 28304
Phone (910) 826-0100

250 Highlands Square Dr
Hendersonvlle, NC 28792
Phone (828) 696-7850

2025 N Marine Blvd
Jacksonville, NC 28546
Phone (910) 455-5546

Organizations & group practices 2

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1902876311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 NORTHSTONE PL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035494",
            "telephone_number": "910-527-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 NORTHSTONE PL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035494",
            "telephone_number": "910-527-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISK",
        "first_name": "KENT",
        "middle_name": "JAMES",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0900E",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2238851",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890900E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.