Individual provider Active NPI

Shaye S Hurd, OD

  • Optometrist
  • North Charleston, SC
National Provider Identifier
1174505853
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1081 Issued in SC
Practice address
7801 Rivers Ave
Sears Building
North Charleston, SC 29406-4015
Phone
(843) 572-6622
Fax
(843) 572-1528
NPI assigned
Nov 17, 2005
Last updated
Jan 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1081 SC Primary

Addresses

Primary practice location

7801 Rivers Ave
Sears Building
North Charleston, SC 29406-4015

Mailing address

7801 Rivers Ave
Sears Building
North Charleston, SC 29406-4015
Phone (843) 572-6622

Other identifiers 1

IdentifierTypeStateIssuer
D10815MedicaidSC

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
I20110318000298 SC Practitioner - Optometry 0143403824 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: North Charleston, SC

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plantation Eyecare Dba/Tricounty Eye AssociatesGroup PAC ID 5496017956, 5 clinicians

Practice addresses (Care Compare)

113 Foxbank Plantation Blvd
Suite C
Moncks Corner, SC 29461-6707

7685 Northwoods Blvd
Unit 8F
North Charleston, SC 29406-4002
Phone (843) 572-6622

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1081SCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Plantation Eyecare Optometrist CurrentSince Nov 9, 2021 Accepting new patients
Tricounty Eye Associates Optometrist PastSince Feb 18, 2024 Accepting new patients

Locations

113 Foxbank Plantation Blvd
Ste C
Moncks Corner, SC 29461
Phone (843) 761-6485

119 Foxbank Plantation Blvd
Ste A
Moncks Corner, SC 29461
Phone (843) 761-6485

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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, 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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1174505853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 RIVERS AVE",
            "address_2": "SEARS BUILDING",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064015",
            "telephone_number": "843-572-6622",
            "fax_number": "843-572-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 RIVERS AVE",
            "address_2": "SEARS BUILDING",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064015",
            "telephone_number": "843-572-6622",
            "fax_number": "843-572-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURD",
        "first_name": "SHAYE",
        "middle_name": "S",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D10815",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.