James K Grant
Individual provider Active NPI Optometrist · Columbia, SC
NPI 1275973125 · NPPES record last updated Jun 25, 2013
Key facts
- NPI
- 1275973125
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1752 (SC)
- Practice address
- 7367 Two Notch Rd
Columbia, SC 29223-7619 - Phone
- (803) 781-2123
- Fax
- (803) 749-0183
- NPI assigned
- Jun 25, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern College of Optometry, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1620 Browning Rd
Columbia, SC 29210-6924
325 Broad St
Suite 100
Sumter, SC 29150-4167
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140421000809 | SC | Practitioner - Optometry | 3375775638 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1752 | SC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Associates of Cayce West Columbia | Optometrist | Current |
Accepting new patients |
| Sansbury Eye Center | Past | Accepting new patients | |
| Eye Associates of Cayce - West Columbia | Optometrist | Past |
Accepting new patients |
Locations
606 Knox Abbott Dr
Cayce, SC 29033
Phone (803) 794-4444
314 Columbia Ave
Lexington, SC 29072
Phone (803) 359-2294
600 Knox Abbott Dr
West Columbia, SC 29033
Phone (803) 755-0213
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1752 | SC | Yes |
Addresses
Primary practice location
7367 Two Notch Rd
Columbia, SC 29223-7619
Mailing address
200 Rolling Knoll Dr
Columbia, SC 29229-9274
Phone (803) 781-2123
Other providers in Columbia, SC
- Deborah L. Grant-James
- Angela Joy Grant
- Elizabeth Alston James Grant
- Gabrielle Grant
- Galen Marlene Grant
- Kenneth Fred Grant
- Michaela Grant
- Tiffany Grant
- Wilmeika Sheren Gunter Grant
- Ursula Lanette Grantham
All providers in Columbia, SC · Optometrist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.