Poole Eyecare Pa is a medicare enrolled "Optometrist" provider in Kings Mtn, North Carolina. Their current practice location is
808 W King St, Kings Mtn, North Carolina. You can reach out to their office (for appointments etc.) via phone at
(704) 739-5581.
Poole Eyecare Pa is licensed to practice in North Carolina (license number NC1109) and it also participates in the medicare program. Poole Eyecare Pa
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1962450098.
Healthcare Provider's Profile
Full Name | Poole Eyecare Pa |
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Type | Facility |
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Speciality | Optometrist |
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Location | 808 W King St, Kings Mtn, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962450098
- Provider Enumeration Date: 05/04/2006
- Last Update Date: 02/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729135603
- Enrollment ID: O20090409000708
Medical Identifiers
Medical identifiers for Poole Eyecare Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962450098 | NPI | - | NPPES |
89-09655 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | NC1109 (North Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Poole Eyecare Pa acts as a billing entity for following providers:
Provider Name | Benjamin C Poole |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1871550897 PECOS PAC ID: 9032134374 Enrollment ID: I20051006000115 |
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Provider Name | Zachary Poole |
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Provider Type | Practitioner - Ophthalmology |
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Provider Identifiers | NPI Number: 1790246585 PECOS PAC ID: 7416283387 Enrollment ID: I20240510002183 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Poole Eyecare Pa is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Poole Eyecare Pa 808 W King St, Kings Mountain, NC 28086-2748 Ph: (704) 739-5581 | Poole Eyecare Pa 808 W King St, Kings Mtn, NC 28086-2748 Ph: (704) 739-5581 |
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