Individual provider Active NPI

Ethan Cory Allen Adkins, OD

  • Optometrist
  • Greenville, SC
National Provider Identifier
1154813566
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2480 Issued in SC
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
WVTPID008819MedicaidWV

Other names 1

  • Dr. Ethan Cory a Adkins Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180724003036 WV Practitioner - Optometry 5991052714 Reassigns benefits to 1 organization
I20241009002415 SC Practitioner - Optometry 5991052714 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
2480SCMDOptometrist
2046-IODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Sep 30, 2024 Accepting new patients
White Eye Care Center Inc. Optometrist CurrentSince Jun 1, 2018 Accepting new patients
Prisma Health University Medical Group CurrentSince Sep 30, 2024 Accepting new patients
Lucas Eye Care PLLC Optometrist CurrentSince Jun 1, 2018 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

  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.