Individual provider Active NPI

Eric Nelson, OD

  • Optometrist
  • Spartanburg, SC
National Provider Identifier
1295392967
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2120 Issued in SC
Practice address
180 N Dean St
Spartanburg, SC 29302-1503
Phone
(864) 583-3125
NPI assigned
May 28, 2019
Last updated
May 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2120 SC Primary

Addresses

Primary practice location

180 N Dean St
Spartanburg, SC 29302-1503

Mailing address

180 N Dean St
Spartanburg, SC 29302-1503

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
I20190719000923 SC Practitioner - Optometry 4082940606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Vision Associates LLCGroup PAC ID 5799683959, 7 clinicians

Practice addresses (Care Compare)

1506 N Limestone St
Gaffney, SC 29340-1205
Phone (864) 489-2016

180 N Dean St
Spartanburg, SC 29302-1503

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2120SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Vision Associates, LLC Optometrist CurrentSince Jun 1, 2019 Accepting new patients
Carolina Vision Associates, LLC Optometrist Past Accepting new patients
Carolina Vision Associates, LLC Optometrist Past Accepting new patients

Locations

1506 N Limestone St
Gaffney, SC 29340
Phone (864) 488-1514

43 N Main St
Inman, SC 29349
Phone (864) 472-2144

180 N Dean St
Spartanburg, SC 29302
Phone (864) 583-3125

363 E Georgia St
Woodruff, SC 29388
Phone (864) 476-0990

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": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1295392967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N DEAN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N DEAN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021503",
            "telephone_number": "864-583-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ERIC",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.