Individual provider Active NPI

William Alexander, OD

  • Optometrist
  • Hartsville, SC
National Provider Identifier
1114931854
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1422 Issued in SC
Practice address
504 S 4TH St
Hartsville, SC 29550-5720
Phone
(843) 332-7171
Fax
(843) 332-7802
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 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 1422 SC Primary

Addresses

Primary practice location

504 S 4TH St
Hartsville, SC 29550-5720

Mailing address

PO Box 11407
Birmingham, AL 35246-8575
Phone (864) 359-1308

Other practice location 1

300 E Monroe St
Dillon, SC 29536-2560
Phone (864) 654-6706

Other practice location 2

380 W Wesmark Blvd
Sumter, SC 29150-1977
Phone (843) 664-9393

Other practice location 3

400 N Cashua Dr
Florence, SC 29501-2098
Phone (864) 654-6706

Other identifiers 1

IdentifierTypeStateIssuer
D14223MedicaidSC

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
I20060919000084 SC Practitioner - Optometry 1557366986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clemson Eye PAGroup PAC ID 4183537764, 51 clinicians

Practice addresses (Care Compare)

15 Southern Ctr CT
Easley, SC 29642-1533
Phone (864) 654-6706

504 S 4TH St
Hartsville, SC 29550-5720
Phone (864) 654-6706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1422SCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clemson Eye, PA Optometrist CurrentSince Jan 10, 2020 Accepting new patients
Clemson Eye, PA Optometrist CurrentSince Jan 10, 2020 Accepting new patients
Marlboro Eye Care Associates, LLC Optometrist Past Accepting new patients
Clemson Eye, PA Optometrist PastSince Aug 11, 2024 Accepting new patients

Locations

602 E Main St
Bennettsville, SC 29512
Phone (843) 473-2020

300 E Monroe St
Dillon, SC 29536
Phone (803) 774-2020

15 Southern Center Ct
Easley, SC 29642
Phone (864) 722-1133

400 N Cashua Dr
Florence, SC 29501
Phone (843) 664-9398

504 S 4th St
Hartsville, SC 29550
Phone (843) 332-7171

380 W Wesmark Blvd
Sumter, SC 29150

Interoperability endpoints

  • Direct secure messaging: william.alexander.p1@direct.clemsoneye.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: william.alexander.p2@direct.clemsoneye.nextgenshare.com

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1114931854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352468575",
            "telephone_number": "864-359-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 S 4TH ST",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295505720",
            "telephone_number": "843-332-7171",
            "fax_number": "843-332-7802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 E Monroe St",
            "address_purpose": "LOCATION",
            "city": "Dillon",
            "state": "SC",
            "postal_code": "295362560",
            "country_code": "US",
            "telephone_number": "864-654-6706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 W Wesmark Blvd",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291501977",
            "country_code": "US",
            "telephone_number": "843-664-9393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N Cashua Dr",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295012098",
            "country_code": "US",
            "telephone_number": "864-654-6706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "WILLIAM",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D14223",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsville, SC

Sources for this page

Verify at the official NPI Registry.