Individual provider Active NPI

Matthew Joseph Diminick, OD

  • Optometrist
  • Charleston, SC
National Provider Identifier
1033045133
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.2608 Issued in SC
Practice address
12 Farmfield Ave
Charleston, SC 29407-7755
Phone
(843) 763-2270
NPI assigned
Jun 18, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.2608 SC Primary

Addresses

Primary practice location

12 Farmfield Ave
Charleston, SC 29407-7755

Mailing address

5642 John Gaines Blvd
Kingsport, TN 37664-6532

Other practice location 1

102 Greenland Dr
Goose Creek, SC 29445-5353
Phone (843) 797-1264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

102 Greenland Dr
Goose Creek, SC 29445-5353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lowcountry Eye Care of Cane Bay, LLC Optometrist CurrentSince Jul 13, 2026 Accepting new patients
Avondale Eye Care Optometrist CurrentSince Jul 13, 2026 Accepting new patients
Lowcountry Eye Care of Goose Creek Optometrist PastSince Jul 13, 2026 Accepting new patients

Locations

12 Farmfield Ave
Ste C
Charleston, SC 29407
Phone (843) 763-2270

102 Greenland Dr
Goose Creek, SC 29445
Phone (843) 203-6551

855 Houston Northcutt Blvd
Mt Pleasant, SC 29464
Phone (800) 969-3666

174 Beauregard Rd
Summerville, SC 29486
Phone (843) 821-0261

1718 State Rd
Ste 8D
Summerville, SC 29486
Phone (843) 900-4050

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1033045133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5642 JOHN GAINES BLVD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376646532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 FARMFIELD AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077755",
            "telephone_number": "843-763-2270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Greenland Dr",
            "address_purpose": "LOCATION",
            "city": "Goose Creek",
            "state": "SC",
            "postal_code": "294455353",
            "country_code": "US",
            "telephone_number": "843-797-1264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMINICK",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "OPT.2608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.