Individual provider Active NPI

Michael Morshed Maseha

  • Optometrist
  • Greer, SC
National Provider Identifier
1043797947
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2081 Issued in SC
Practice address
812 W Wade Hampton Blvd
Greer, SC 29650-1309
Phone
(864) 877-1825
Fax
(864) 877-1805
NPI assigned
Jul 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2081 SC Primary

Addresses

Primary practice location

812 W Wade Hampton Blvd
Greer, SC 29650-1309

Mailing address

1950 Old Gallows Rd
Vienna, VA 22182-3990
Phone (703) 847-8899

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
I20190225003206 SC Practitioner - Optometry 0143569814 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of South Carolina, LLC Optometrist CurrentSince Apr 25, 2022 Accepting new patients
Myeyedr Optometry of South Carolina, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of South Carolina, LLC Optometrist CurrentSince Apr 25, 2022 Accepting new patients
Clark Optometric Center of SC, P.a. Optometrist CurrentSince Feb 1, 2019 Accepting new patients

Locations

1829 Doctors Dr
Sanford, NC 27330
Phone (919) 776-2032

853 Highway 72 Byp
Greenwood, SC 29649
Phone (864) 302-0202

812 W Wade Hampton Blvd
Greer, SC 29650
Phone (864) 877-1825

306 E Main St
Pickens, SC 29671
Phone (864) 638-9505

1268 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 327-2001

419 SE Main St
Ste 300
Simpsonville, SC 29681
Phone (864) 417-2345

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

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": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1043797947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823990",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 W WADE HAMPTON BLVD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501309",
            "telephone_number": "864-877-1825",
            "fax_number": "864-877-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASEHA",
        "first_name": "MICHAEL",
        "middle_name": "MORSHED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-24",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

Verify at the official NPI Registry.