William David Coleman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1702 Issued in SC

Practice address

1 Colony Centre Way
Simpsonville, SC 29681-3286

Phone

(864) 963-2171

Fax

(864) 250-6475

NPI assigned

Jul 24, 2012

Sex

Male

Sole proprietor

No

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

Southern College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jervey Eye Group PAGroup PAC ID 2860397148, 20 clinicians

Practice addresses (Care Compare)

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.

• Jervey Eye Group, PA

  • Ophthalmology Physician
  • Simpsonville, SC
  • NPI 1447220710

  Optometrist

  Medicare reassignment Care Compare group NPD
• Jervey Eye Group, PA

  • Ophthalmology Physician
  • Easley, SC
  • NPI 1700856077

  Optometrist

  NPD
• Jervey Eye Group, PA

  • Ophthalmology Physician
  • Greenville, SC
  • NPI 1992775696

  Optometrist

  NPD (past)
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1275889503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 HALTON RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073403",
            "telephone_number": "864-458-7956",
            "fax_number": "864-250-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COLONY CENTRE WAY",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813286",
            "telephone_number": "864-963-2171",
            "fax_number": "864-250-6475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Halton Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296073403",
            "country_code": "US",
            "telephone_number": "864-458-7956",
            "fax_number": "864-250-6475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "WILLIAM",
        "middle_name": "DAVID",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-24",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Cockfield
• Matt Cohen, D.C.
• Joni Marie Coker, D.O.
• Michael Coker
• Latasha R Coleman
• Atiya Lark Collins, M.C.D. CCC-SLP
• Stanford Collins
• Comfort Way Transport
• Community Birth Group
• Compassus BSMH St. Francis HHA LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.