Individual provider Active NPI

James M Vaught, OD

  • Optometrist
  • Conway, SC
National Provider Identifier
1124041371
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
754 Issued in SC
Practice address
1406 Main Street
Conway, SC 29526-3567
Phone
(843) 488-2020
Fax
(843) 488-0141
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 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 754 SC Primary

Addresses

Primary practice location

1406 Main Street
Conway, SC 29526-3567

Mailing address

1406 Main Street
Conway, SC 29526-3567
Phone (843) 488-2020

Other identifiers 1

IdentifierTypeStateIssuer
DO7543MedicaidSC

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
I20110309000825 SC Practitioner - Optometry 5597747899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vaught Eye Associates, PAGroup PAC ID 7416939715, 12 clinicians

Practice addresses (Care Compare)

1406 Main St
Conway, SC 29526-3567
Phone (843) 488-2020

Merit-based Incentive Payment System (MIPS)

Final score
76.34 of 100Reported as group
Quality
59.52
Improvement activities
40
Cost
75.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
754SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vaught Eye Associates,PA CurrentSince Jun 21, 1993 Accepting new patients
Vaught Eye Associates, PA Optometrist CurrentSince Nov 23, 1996 Accepting new patients

Locations

1406 Main St
Conway, SC 29526
Phone (843) 488-2020

1400 Main St
Conway, SC 29526
Phone (803) 248-7272

915 N Fraser St
Georgetown, SC 29440
Phone (843) 436-2020

Organizations & group practices 2

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1124041371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 MAIN STREET",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263567",
            "telephone_number": "843-488-2020",
            "fax_number": "843-488-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 MAIN STREET",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263567",
            "telephone_number": "843-488-2020",
            "fax_number": "843-488-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHT",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DO7543",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.