Individual provider Active NPI

Bernard Arnold, OD

  • Optometrist
  • North Charleston, SC
National Provider Identifier
1235155292
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
50-00501 Issued in SC
Practice address
7685 Northwoods Blvd
North Charleston, SC 29406-4002
Phone
(843) 795-7971
Fax
(843) 795-6689
NPI assigned
Jul 14, 2006
Last updated
Aug 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 50-00501 SC Primary

Addresses

Primary practice location

7685 Northwoods Blvd
North Charleston, SC 29406-4002

Mailing address

1451 Bare Rd
West Jefferson, NC 28694-9183
Phone (843) 795-7971

Other identifiers 2

IdentifierTypeStateIssuer
D05019MedicaidSC
580002170OtherSCRR MEDICARE

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
I20100226000740 SC Practitioner - Optometry 5294870440 Reassigns benefits to 2 organizations
Practice locations: Orangeburg, SC; Moncks Corner, SC; N Charleston, SC

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focus Eye Care Center PCGroup PAC ID 4082607346, 4 clinicians

Practice addresses (Care Compare)

115 E Church St
Leesville, SC 29070-7595
Phone (803) 582-7999

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50-00501SCMDOptometrist
501SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Manter Optometric, LLC Optometrist CurrentSince Dec 21, 2017 Accepting new patients
Focus Eye Care Center, PC Optometrist CurrentSince Oct 3, 2017 Accepting new patients
Focus Eye Care Center, PC Optometrist Past Accepting new patients

Locations

10060 Two Notch Rd
Columbia, SC 29223
Phone (803) 419-6240

360 Harbison Blvd
Columbia, SC 29212
Phone (803) 732-0617

612 Saint Andrews Rd
Ste 12
Columbia, SC 29210
Phone (803) 732-4099

115 E Church St
Leesville, SC 29070
Phone (803) 532-5226

1057 Broad St
Sumter, SC 29150
Phone (803) 775-7877

1057 Broad St
Ste 1
Sumter, SC 29150
Phone (803) 494-5214

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, 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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1235155292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 BARE RD",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286949183",
            "telephone_number": "843-795-7971",
            "fax_number": "843-795-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7685 NORTHWOODS BLVD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064002",
            "telephone_number": "843-795-7971",
            "fax_number": "843-795-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "50-00501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D05019",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "580002170",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.