Jill Sellner, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.2179OPT Issued in SC

Practice address

100 Columbiana Cir Ste 1154
Columbia, SC 29212-2266

Phone

(803) 784-2010

NPI assigned

Apr 4, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

University of Pikeville, Kentucky College of Osteopathic Med, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Associates of Columbia IncGroup PAC ID 1153652532, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eye Associates of Columbia Inc

  • Clinic/Center
  • Columbia, SC
  • NPI 1801303839
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1585958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1073142774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COLUMBIANA CIR STE 1154",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292122266",
            "telephone_number": "803-784-2010",
            "fax_number": "803-784-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COLUMBIANA CIR STE 1154",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292122266",
            "telephone_number": "803-784-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLNER",
        "first_name": "JILL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-04",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "OPT.2179OPT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Sellers
• Holly Sellers, PT
• Jessica Sellers, LMSW
• Kelvin Sellers
• Renee Sellers
• Roberto Selonk Buechele
• James Felder Selph III, MD
• Margaret Jamerson Selph, DNP
• Albert William Semer Jr., MSW
• Emily Semerau, LMT

• Optometrist in Columbia, SC
• Providers in Columbia, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.