Basil Norman Coombs, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

SC1226 Issued in SC

Practice address

1201 Knox Ave
North Augusta, SC 29841-4056

Phone

(803) 442-3050

Fax

(803) 202-0275

NPI assigned

Jun 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Southern College of Optometry, 1990

Medicare assignment

May accept Medicare assignment

Group practices

Martinez Eye Associates LLCGroup PAC ID 2860660529, 4 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.

• Martinez Eye Associates LLC

  • Optometrist
  • Augusta, GA
  • NPI 1457586976
  Medicare reassignment Care Compare group NPD
• Gulf Coast Optometry, PA

  • Corneal and Contact Management Optometrist
  • Tampa, FL
  • NPI 1083859409

  GA

  Medicare reassignment

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1154525160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 WATERSTON DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "30809",
            "telephone_number": "803-442-3050",
            "fax_number": "803-202-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 KNOX AVE",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298414056",
            "telephone_number": "803-442-3050",
            "fax_number": "803-202-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOMBS",
        "first_name": "BASIL",
        "middle_name": "NORMAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "SC1226",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "GA1419",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie M Cobb, EDS, LPC
• Melanie Norton Cochran, M.P.T
• Jessica Collins, MA-CCC
• Comfort Corner Home Care LLC
• Charlaine Conger, FNP-C
• Bri-Ann Corbin
• Theresa Cordell
• Cornerstone Family Chiropractic
• Miranda Cornwell, OTR/L
• Jessica Corral Delacruz, M.D.

• Optometrist in North Augusta, SC
• Providers in North Augusta, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.