Individual provider Active NPI

Anne V. Parker, M.D.

  • Ophthalmology Physician
  • Greenville, SC
National Provider Identifier
1225074396
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
14400 Issued in SC
Practice address
121 Halton Village Cir
Greenville, SC 29607-6825
Phone
(864) 286-3700
Fax
(864) 286-6003
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Missouri, Columbia School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

121 Halton Village Cir
Greenville, SC 29607-6825
Phone (864) 286-3700

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery341

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20060628000248 SC Practitioner - Ophthalmology 2769494186 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14400SCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Cornea and Laser Center Ophthalmology CurrentSince Jul 1, 2013 Accepting new patients
CCLC Obs LLC CurrentSince Jun 9, 2024 Accepting new patients
Greenville Health System Past Accepting new patients

Locations

121 Halton Village Cir
Greenville, SC 29607
Phone (864) 286-3700

200 Patewood Dr
Ste B180
Greenville, SC 29615
Phone (864) 286-3700

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 14400 SC Primary

Addresses

NPPES NPI Registry

Primary practice location

121 Halton Village Cir
Greenville, SC 29607-6825

Mailing address

121 Halton Village Cir
Greenville, SC 29607-6825
Phone (864) 286-3700

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
144007MedicaidSC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 12, 2022.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1225074396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 HALTON VILLAGE CIR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076825",
            "telephone_number": "864-286-3700",
            "fax_number": "864-286-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 HALTON VILLAGE CIR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076825",
            "telephone_number": "864-286-3700",
            "fax_number": "864-286-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "ANNE",
        "middle_name": "V.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "14400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144007",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.