Individual provider Active NPI

Tanner Dean Semones, OD

  • Optometrist
  • Ladson, SC
National Provider Identifier
1285529719
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2542 Issued in SC
Practice address
9565 Highway 78 BLDG 200
Ladson, SC 29456-4118
Phone
(843) 553-2477
Fax
(843) 553-2478
NPI assigned
Jun 12, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2542 SC Primary

Addresses

Primary practice location

9565 Highway 78 BLDG 200
Ladson, SC 29456-4118

Mailing address

9565 Highway 78 BLDG 200
Ladson, SC 29456-4118
Phone (843) 553-2477

Other identifiers 1

IdentifierTypeStateIssuer
D25426MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9565 Hwy 78
BLDG 200
Ladson, SC 29456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2542SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cataract and Laser Center of Charleston CurrentSince Aug 17, 2026 Accepting new patients

Locations

9565 Highway 78
Bldg 200
Ladson, SC 29456
Phone (843) 553-2477

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1285529719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9565 HIGHWAY 78 BLDG 200",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564118",
            "telephone_number": "843-553-2477",
            "fax_number": "843-553-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9565 HIGHWAY 78 BLDG 200",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564118",
            "telephone_number": "843-553-2477",
            "fax_number": "843-553-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMONES",
        "first_name": "TANNER",
        "middle_name": "DEAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-12",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D25426",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladson, SC

Sources for this page

Verify at the official NPI Registry.