Individual
DR. KEITH P POINDEXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1773
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0926L
BCBS
—
01
—
410049407
RAILROAD MEDICARE
—
05
—
890926L
—
NC
01
—
B0444
MEDCOST
—
01
—
FH7000080
FIRST CAROLINA CARE
—
Enumeration date
08/12/2006
Last updated
08/14/2019
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