Individual provider Active NPI

Elena Vansant Martin, OD

  • Optometrist
  • West Columbia, SC
National Provider Identifier
1033802806
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2403 Issued in SC
Practice address
3618 Sunset Blvd Ste a
West Columbia, SC 29169-3046
Phone
(803) 732-4099
NPI assigned
May 30, 2023
Last updated
May 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2403 SC Primary

Addresses

Primary practice location

3618 Sunset Blvd Ste a
West Columbia, SC 29169-3046

Mailing address

101 Saluda Pointe Dr Unit 415
Lexington, SC 29072-7060
Phone (803) 920-3798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231026003831 SC Practitioner - Optometry 1951757921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Therapy Institute of SCGroup PAC ID 5799115044, 3 clinicians

Practice addresses (Care Compare)

3618 Sunset Blvd
Suite a
West Columbia, SC 29169-3046
Phone (803) 732-4099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2403SCMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Therapy Institute of SC Optometrist CurrentSince Aug 8, 2023 Accepting new patients

Locations

3618 Sunset Blvd
#A
West Columbia, SC 29169
Phone (803) 732-4099

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1033802806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SALUDA POINTE DR UNIT 415",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727060",
            "telephone_number": "803-920-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 SUNSET BLVD STE A",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693046",
            "telephone_number": "803-732-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ELENA",
        "middle_name": "VANSANT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.