Individual provider Active NPI

Jonathan M Robinson, O.D.

  • Optometrist
  • Rock Hill, SC
National Provider Identifier
1083874036
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1499 Issued in SC
Practice address
1565 Ebenezer Rd
Suite 100
Rock Hill, SC 29732-3421
Phone
(803) 328-0168
Fax
(803) 325-8473
NPI assigned
Jun 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 2041 SC
Optometrist 152W00000X 1499 SC Primary

Addresses

Primary practice location

1565 Ebenezer Rd
Suite 100
Rock Hill, SC 29732-3421

Mailing address

1773 Ebenezer Rd Ste 100
Rock Hill, SC 29732-1101
Phone (803) 328-0168

Other identifiers 2

IdentifierTypeStateIssuer
014991MedicaidSC
APPLYING FORMedicaidSC

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
I20080924000775 SC Practitioner - Optometry 7416024971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rock Hill Eye Clinic PAGroup PAC ID 8921083502, 6 clinicians

Practice addresses (Care Compare)

1698 Hwy 160 E
Fort Mill, SC 29715-7069
Phone (803) 547-5910

1773 Ebenezer Rd
Rock Hill, SC 29732-1101
Phone (803) 328-0168

Merit-based Incentive Payment System (MIPS)

Final score
91.48 of 100Reported as group
Quality
91.19
Improvement activities
40
Cost
83.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2041SCMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Hill Eye Clinic, P.a. CurrentSince Jul 28, 2008 Accepting new patients

Locations

1698 Highway 160 W
Ste 110
Fort Mill, SC 29708
Phone (803) 547-9510

1773 Ebenezer Rd
Ste 100
Rock Hill, SC 29732

1773 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 328-0168

1565 Ebenezer Rd
Ste 100
Rock Hill, SC 29732
Phone (803) 328-0168

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1083874036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 EBENEZER RD STE 100",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321101",
            "telephone_number": "803-328-0168",
            "fax_number": "803-325-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 EBENEZER RD",
            "address_2": "SUITE 100",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323421",
            "telephone_number": "803-328-0168",
            "fax_number": "803-325-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "JONATHAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "SC",
            "license": "2041",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014991",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APPLYING FOR",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.