Individual provider Active NPI

Alecia R Palmer, O.D.

  • Optometrist
  • Lancaster, SC
National Provider Identifier
1275535825
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1859 Issued in SC
Practice address
805 Lancaster Byp W
Lancaster, SC 29720-4773
Phone
(803) 238-2603
Fax
(803) 238-2603
NPI assigned
Aug 12, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4934 OH
Optometrist 152W00000X 1859 SC Primary

Addresses

Primary practice location

805 Lancaster Byp W
Lancaster, SC 29720-4773

Mailing address

3733 Park East Dr
Suite #104
Beachwood, OH 44122-4338
Phone (216) 839-0200

Other practice location 1

3733 Park East Dr
Suite #104
Beachwood, OH 44122-4338
Phone (216) 839-0200

Other identifiers 1

IdentifierTypeStateIssuer
DP1859MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170530000853 SC Practitioner - Optometry 1254309172 Reassigns benefits to 2 organizations
I20220510002419 NC Practitioner - Optometry 1254309172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster Eye Clinic P.a.Group PAC ID 4981799509, 6 clinicians

Practice addresses (Care Compare)

1240 Colonial Commons CT
Lancaster, SC 29720-2200
Phone (803) 285-4333

Merit-based Incentive Payment System (MIPS)

Final score
99.7 of 100Reported as group
Quality
100
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1859SCMDOptometrist
4934OHMDPhysical Therapist
2511NCMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes Over Carolina PC Optometrist CurrentSince May 1, 2017 Accepting new patients
Lang Optical Inc. Past Accepting new patients
Bergelt Optometric LLC Optometrist PastSince Sep 22, 2020 Accepting new patients
Wal-Mart Stores East, LP Past Accepting new patients
Gregory Sasarak Inc PastSince Sep 17, 2012 Accepting new patients

Locations

7520 Garners Ferry Rd
Columbia, SC 29209
Phone (803) 776-5363

1150 S 4th St
Hartsville, SC 29550
Phone (843) 332-8111

Organizations & group practices 7

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275535825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3733 PARK EAST DR",
            "address_2": "SUITE #104",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224338",
            "telephone_number": "216-839-0200",
            "fax_number": "216-839-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 LANCASTER BYP W",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297204773",
            "telephone_number": "803-238-2603",
            "fax_number": "803-238-2603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3733 Park East Dr",
            "address_2": "Suite #104",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441224338",
            "country_code": "US",
            "telephone_number": "216-839-0200",
            "fax_number": "216-839-0808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "ALECIA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4934",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DP1859",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

Verify at the official NPI Registry.