Active NPI
Bernard Arnold, OD
- Optometrist
- North Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 50-00501
- 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, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D05019 | Medicaid | SC | |
| 580002170 | Other | SC | RR 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
Enrollment records 1
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
Practice addresses (Care Compare)
115 E Church St
Leesville, SC 29070-7595
Phone (803) 582-7999
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50-00501 | SC | MD | Optometrist |
| 501 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manter Optometric, LLC | Optometrist | Current | Accepting new patients |
| Focus Eye Care Center, PC | Optometrist | Current | 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.
-
- Optometrist
- Columbia, SC
- NPI 1417207713
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.