Individual provider Active NPI

James K Grant

  • Optometrist
  • Columbia, SC
National Provider Identifier
1275973125
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1752 Issued in SC
Practice address
7367 Two Notch Rd
Columbia, SC 29223-7619
Phone
(803) 781-2123
Fax
(803) 749-0183
NPI assigned
Jun 25, 2013
Last updated
Jun 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1752 SC Primary

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

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
I20140421000809 SC Practitioner - Optometry 3375775638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Cayce - West Columbia PA Optometrist CurrentSince Mar 10, 2024 Accepting new patients
Sansbury Eye Center Past Accepting new patients
Eye Associates of Cayce - West Columbia Optometrist PastSince Mar 10, 2024 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

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": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1275973125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ROLLING KNOLL DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292299274",
            "telephone_number": "803-781-2123",
            "fax_number": "803-749-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7367 TWO NOTCH RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237619",
            "telephone_number": "803-781-2123",
            "fax_number": "803-749-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "JAMES",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.