William R Hundley, O.D.
Individual provider Active NPI Optometrist · Rock Hill, SC
NPI 1003906140 · NPPES record last updated Mar 25, 2021
Key facts
- NPI
- 1003906140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1783 (NC)
- Practice address
- 1220 Ebenezer Road
Rock Hill, SC 29732 - Phone
- (803) 327-2020
- Fax
- (803) 327-2335
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Accuvision Eye Care OD, PA
Practice addresses (Care Compare)
1900 Matthews Township Pkwy
Matthews, NC 28105-4660
Phone (704) 708-8362
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250313000459 | NC | Practitioner - Optometry | 5092990994 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1783 | NC | MD | Speech-Language Pathologist |
Practice roles (1 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accuvision Eye Care OD, PA | Optometrist | Current |
Accepting new patients |
Locations
3916 E Franklin Blvd
Ste 160
Gastonia, NC 28056
Phone (704) 565-0660
1900 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 708-8362
Networks
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1135 | SC | |
| Optometrist | 152W00000X | 1783 | NC | Yes |
Addresses
Primary practice location
1220 Ebenezer Road
Rock Hill, SC 29732
Mailing address
919 Stanfield Dr
Charlotte, NC 28210-2929
Phone (704) 516-3823
Other providers in Rock Hill, SC
- Douglas Beason Hughes Jr.
- Kathryn K Hughes
- Whitney Hughes
- Patrick Michael Hull
- Humanity Home Health Inc
- Heidi A Hunsucker
- Brittany Yarbrough Hunter-Renaud
- Chivonne Hunter
- Sarah Brianna Hunter
- Cierra-Nicole Sue Hupp
All providers in Rock Hill, SC · Optometrist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.