Individual provider Active NPI

Patrick W Smith, O.D.

  • Optometrist
  • Charleston, SC
National Provider Identifier
1285794156
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1029 Issued in SC
Practice address
3531 Mary Ader Ave
Suite B
Charleston, SC 29414-5896
Phone
(843) 577-2047
Fax
(843) 577-0640
NPI assigned
Dec 11, 2006
Last updated
Oct 2, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1029 SC Primary

Addresses

Primary practice location

3531 Mary Ader Ave
Suite B
Charleston, SC 29414-5896

Mailing address

3531 Mary Ader Ave
Suite B
Charleston, SC 29414-5896
Phone (843) 577-2047

Other identifiers 1

IdentifierTypeStateIssuer
D10290MedicaidSC

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
I20050310000954 SC Practitioner - Optometry 2860443975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Eyecare Physicians LLCGroup PAC ID 9638070436, 27 clinicians

Practice addresses (Care Compare)

116 N Hwy 52
Suite a
Moncks Corner, SC 29461-3925
Phone (888) 856-1878

1739 Sam Rittenberg Blvd
Charleston, SC 29407-4927
Phone (888) 856-1878

2060 Charlie Hall Blvd
Suite 201
Charleston, SC 29414-6066
Phone (888) 856-1878

2861 Tricom St
N Charleston, SC 29406-9172
Phone (888) 856-1878

3531 Mary Ader Ave
Charleston, SC 29414-5896
Phone (888) 856-1878

Merit-based Incentive Payment System (MIPS)

Final score
90.66 of 100Reported as group
Quality
96.55
Promoting interoperability
96
Improvement activities
40
Cost
75.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1029SCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Eyecare Physicians LLC CurrentSince Oct 18, 2021 Accepting new patients
Charlestoneye PA Optometrist Past Accepting new patients
Village Optical LLC Optometrist Past Accepting new patients

Locations

1739 Sam Rittenberg Blvd
Charleston, SC 29407
Phone (843) 556-2657

2060 Charlie Hall Blvd
Ste 201
Charleston, SC 29414
Phone (843) 571-7337

3531 Mary Ader Ave
Charleston, SC 29414
Phone (843) 352-0674

3531 Mary Ader Ave
Ste B
Charleston, SC 29414
Phone (843) 577-2047

116 N Highway 52
Ste A
Moncks Corner, SC 29461
Phone (843) 761-8751

2861 Tricom St
North Charleston, SC 29406
Phone (843) 725-0064

Interoperability endpoints

  • Direct secure messaging: patrick.smith@uprisedirect.com

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1285794156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 MARY ADER AVE",
            "address_2": "SUITE B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145896",
            "telephone_number": "843-577-2047",
            "fax_number": "843-577-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 MARY ADER AVE",
            "address_2": "SUITE B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145896",
            "telephone_number": "843-577-2047",
            "fax_number": "843-577-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PATRICK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D10290",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.