Active NPI
Ethan Cory Allen Adkins, OD
- Optometrist
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2480
- Practice address
- 200 Patewood Dr Ste A200
Greenville, SC 29615-3580 - Phone
- (864) 454-5540
- Fax
- (864) 241-9276
- NPI assigned
- May 31, 2018
- Last updated
- Sep 2, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2046-IOD | WV | |
| Optometrist | 152W00000X | 2480 | SC | Primary |
Addresses
Primary practice location
200 Patewood Dr Ste A200
Greenville, SC 29615-3580
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other practice location 1
407 George Kostas Dr
Logan, WV 25601-3747
Phone (304) 752-2020
Other practice location 2
1488 W Wade Hampton Blvd Ste B
Greer, SC 29650-1167
Phone (864) 655-6567
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WVTPID008819 | Medicaid | WV |
Other names 1
- Dr. Ethan Cory a Adkins
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, SC
- 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
- Southern College of Optometry, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Patewood Dr
Suite A200
Greenville, SC 29615-3580
Phone (864) 454-5684
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2480 | SC | MD | Optometrist |
| 2046-IOD | WV | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| White Eye Care Center Inc. | Optometrist | Current | Accepting new patients |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Lucas Eye Care PLLC | Optometrist | Current | Accepting new patients |
| National Vision, Inc. | Past | Accepting new patients |
Locations
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
200 Patewood Dr
Ste A200
Greenville, SC 29615
Phone (864) 454-5115
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
407 George Kostas Dr
Logan, WV 25601
Phone (304) 752-2020
Interoperability endpoints
- eadkins818626@direct.ghs.myhfn.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
- Optometrist
- Logan, WV
- NPI 1023118841
-
dba Parkside OB-GYN
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
- Optometrist
- Logan, WV
- NPI 1881762342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1154813566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-522-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PATEWOOD DR STE A200",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153580",
"telephone_number": "864-454-5540",
"fax_number": "864-241-9276"
}
],
"practiceLocations": [
{
"address_1": "407 George Kostas Dr",
"address_purpose": "LOCATION",
"city": "Logan",
"state": "WV",
"postal_code": "256013747",
"country_code": "US",
"telephone_number": "304-752-2020",
"fax_number": "304-752-5600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1488 W Wade Hampton Blvd Ste B",
"address_purpose": "LOCATION",
"city": "Greer",
"state": "SC",
"postal_code": "296501167",
"country_code": "US",
"telephone_number": "864-655-6567",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADKINS",
"first_name": "ETHAN",
"middle_name": "CORY ALLEN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-31",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WV",
"license": "2046-IOD",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "2480",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "WVTPID008819",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ETHAN",
"last_name": "ADKINS",
"middle_name": "CORY A",
"prefix": "DR.",
"credential": "OD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Greenville, SC
- Addus Healthcare (South Carolina), Inc. (Addus HomeCare)
- Addus Healthcare (South Carolina), Inc. (CarePro Hospice)
- David Adeite
- Sandra Oluwafunmilayo Adeleye
- Adetunji Adenipekun
- Kira Denae Adkins, PHARMD
- Kori Lynn Adkins, APRN
- Lesley A Adkins, COTA
- Brandford Kojo Otabil Adobaw, MD
- Adolescent and Family Services, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.