Individual provider Active NPI

James A Eddis III, OD

  • Optometrist
  • Camden, SC
National Provider Identifier
1285717835
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1849 Issued in SC
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

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170316001703 SC Practitioner - Optometry 1153606025 Reassigns benefits to 2 organizations

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

OrganizationSpecialtyStatusNew patients
Eddis Ophthalmic Services, LLC Optometrist CurrentSince Jul 1, 2016 Accepting new patients
Loftis and Associates P.a Optometrist CurrentSince Oct 1, 2016 Accepting new patients
Loftis & Associates, PA Optometrist CurrentSince Oct 1, 2016 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.

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

Verify at the official NPI Registry.