Active NPI
Paul M Salvatore, O.D.
- Optometrist
- Mt Pleasant, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1935
- Practice address
- 709 Long Point Rd Ste C
Mt Pleasant, SC 29464-8287 - Phone
- (843) 849-0800
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | R-339 | AL | |
| Optometrist | 152W00000X | OPT003370 | GA | |
| Optometrist | 152W00000X | 1935 | SC | Primary |
Addresses
Primary practice location
709 Long Point Rd Ste C
Mt Pleasant, SC 29464-8287
Mailing address
105 Brandt Dr.
Suite 201
Cranberry TWP., PA 16066-6412
Phone (724) 772-5420
Other practice location 1
105 Brandt Dr.
Suite 201
Cranberry Twp., PA 16066-6412
Phone (724) 772-5420
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101446321 | Medicaid | PA | |
| 1764972 | Other | PA | HIGHMARK BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4875 Altama Ave
Brunswick, GA 31520-2912
Phone (912) 554-0010
709 Long Point Rd
Suite C
Mt Pleasant, SC 29464-8287
Phone (843) 849-0800
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-339 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of South Carolina, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of South Carolina, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of South Carolina, LLC | Optometrist | Current | Accepting new patients |
| Associates in Ophthalmology LTD | Past | Accepting new patients | |
| Myeyedr Optometry of South Carolina, LLC | Optometrist | Past | Accepting new patients |
Locations
4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010
1409 Sixes Rd
Canton, GA 30114
Phone (770) 852-2733
3801 Northside Dr
Macon, GA 31210
Phone (478) 475-1600
1044 Avalon Pkwy
McDonough, GA 30253
Phone (770) 898-7078
105 Grand Central Blvd
Ste 110
Pooler, GA 31322
Phone (912) 450-9200
7203 Hodgson Memorial Dr
Ste A
Savannah, GA 31406
Phone (912) 352-9356
1000 Peachtree Industrial Blvd
Suwanee, GA 30024
Phone (770) 271-0611
1000 Peachtree Industrial Blvd
Ste 14
Suwanee, GA 30024
Phone (770) 271-0611
179 Handley Rd
Ste C
Tyrone, GA 30290
Phone (770) 486-1020
204 Midtown Dr
Beaufort, SC 29906
Phone (843) 521-0138
1826 Highway 160 W
Ste 101
Fort Mill, SC 29708
Phone (803) 650-3080
210 Mills Ave
Greenville, SC 29605
Phone (803) 232-2779
1617 Wade Hampton Blvd
Greenville, SC 29609
Phone (864) 322-9050
812 W Wade Hampton Blvd
Greer, SC 29650
Phone (864) 877-1825
1774 Paxville Hwy
Manning, SC 29102
Phone (803) 435-2494
709 Long Point Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 259-2002
7643 Rivers Ave
Ste D
North Charleston, SC 29406
Phone (843) 797-0731
306 E Main St
Pickens, SC 29671
Phone (864) 638-9505
1268 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 327-2001
622 Bacons Bridge Rd
Ste B
Summerville, SC 29485
Phone (843) 594-0919
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 8
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.
-
- Optometrist
- Rock Hill, SC
- NPI 1205248481
-
- Optometrist
- Rincon, GA
- NPI 1437294592
-
- Optometrist
- Indian Land, SC
- NPI 1093679961
-
- Optometrist
- Greenville, SC
- NPI 1649655093
-
- Optometrist
- Tyrone, GA
- NPI 1275326571
-
- Optometrist
- Pooler, GA
- NPI 1760883904
-
- Optometrist
- Summerville, SC
- NPI 1407730120
-
- Ophthalmology Physician
- West Mifflin, PA
- NPI 1639175045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1124113162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 BRANDT DR.",
"address_2": "SUITE 201",
"city": "CRANBERRY TWP.",
"state": "PA",
"postal_code": "160666412",
"telephone_number": "724-772-5420",
"fax_number": "724-772-5423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 LONG POINT RD STE C",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294648287",
"telephone_number": "843-849-0800"
}
],
"practiceLocations": [
{
"address_1": "105 Brandt Dr.",
"address_2": "Suite 201",
"address_purpose": "LOCATION",
"city": "Cranberry Twp.",
"state": "PA",
"postal_code": "160666412",
"country_code": "US",
"telephone_number": "724-772-5420",
"fax_number": "724-772-5423",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALVATORE",
"first_name": "PAUL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "R-339",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT003370",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1935",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101446321",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BS",
"identifier": "1764972",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.