Individual
DR. KEITH P POINDEXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4811 FAYETTEVILLE RD, LUMBERTON, NC 28358-2111
(910) 739-3323
(910) 739-6489
Mailing address
1902 N SANDHILLS BLVD, ABERDEEN, NC 28315-2382
(910) 692-2020
(800) 308-9356
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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