Active NPI
James A Eddis III, OD
- Optometrist
- Camden, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1849
- Practice address
- 2240 W Dekalb St
Camden, SC 29020-2069 - Phone
- (803) 572-5112
- Fax
- (803) 865-1856
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1849 | SC | Primary |
Addresses
Primary practice location
2240 W Dekalb St
Camden, SC 29020-2069
Mailing address
48 Clipper Way
Columbia, SC 29229-7005
Other practice location 1
1123D Highway 1 S
Lugoff, SC 29078-9183
Phone (803) 572-5112
Other practice location 2
4110 Moseby St
Columbia, SC 29207-6118
Phone (803) 790-1849
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2240 W Dekalb St
Camden, SC 29020-2069
Phone (803) 572-5112
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eddis Ophthalmic Services, LLC | Optometrist | Current | Accepting new patients |
| Loftis and Associates P.a | Optometrist | Current | Accepting new patients |
| Loftis & Associates, PA | Optometrist | Current | Accepting new patients |
Locations
2240 W DeKalb St
Camden, SC 29020
Phone (803) 425-1691
10136 Two Notch Rd
Ste 107D
Columbia, SC 29229
Phone (803) 477-3109
1219 Lincoln St
Columbia, SC 29201
Phone (803) 799-2020
1123D Highway 1 S
Lugoff, SC 29078
Phone (803) 572-5112
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 and National Provider Directory roles.
-
- Optometrist
- Columbia, SC
- NPI 1316314669
-
- Optometrist
- Columbia, SC
- NPI 1326071135
-
- Optometrist
- Leesville, SC
- NPI 1952739468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1285717835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 CLIPPER WAY",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292297005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 W DEKALB ST",
"city": "CAMDEN",
"state": "SC",
"postal_code": "290202069",
"telephone_number": "803-572-5112",
"fax_number": "803-865-1856"
}
],
"practiceLocations": [
{
"address_1": "1123D Highway 1 S",
"address_purpose": "LOCATION",
"city": "Lugoff",
"state": "SC",
"postal_code": "290789183",
"country_code": "US",
"telephone_number": "803-572-5112",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4110 Moseby St",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292076118",
"country_code": "US",
"telephone_number": "803-790-1849",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDDIS",
"first_name": "JAMES",
"middle_name": "A",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camden, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.