Jared Hamilton Fisher, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1424 Issued in SC

Practice address

201 Eddie Chasteen Dr
Walterboro, SC 29488-5728

Phone

(843) 549-2015

Fax

(843) 549-0104

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Coastal Eye Care of James Island

  • Optometrist
  • Charleston, SC
  • NPI 1558806414
  Medicare reassignment NPD Authorized official
• Coastal Eye Care of Charleston, LLC

  • Optometrist
  • Charleston, SC
  • NPI 1053537068
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1194749655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 WOODLAND SHORES RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122426",
            "telephone_number": "843-817-5824",
            "fax_number": "843-720-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 EDDIE CHASTEEN DR",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294885728",
            "telephone_number": "843-549-2015",
            "fax_number": "843-549-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "JARED",
        "middle_name": "HAMILTON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Filion, CCC-SLP
• First Hand Physical Therapy, LLC
• Kelli Washington Fishburne, FNP
• Marguerite Louise Fishburne, FNP-BC
• Angela Cowart Fisher, M.D.
• Megan Anne Fitzwater, COTA/L
• Joseph Flowers, MD
• Floyd Brace Company, Inc.
• Matthew Floyd, PHARMD
• Kelly Ann Flynn, FNP

• Optometrist in Walterboro, SC
• Providers in Walterboro, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.