Individual provider Active NPI

Shawn D Thomas, OD

  • Optometrist
  • Murrells Inlet, SC
National Provider Identifier
1295736445
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1676 Issued in SC
Practice address
912 Inlet Square Dr Ste B
Murrells Inlet, SC 29576-7812
Phone
(843) 299-2485
Fax
(843) 299-2486
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 1676 SC
Optometrist 152W00000X 1676 SC Primary

Addresses

Primary practice location

912 Inlet Square Dr Ste B
Murrells Inlet, SC 29576-7812

Mailing address

11947 Grandhaven Dr Ste M
Murrells Inlet, SC 29576-7862
Phone (843) 299-2485

Other identifiers 2

IdentifierTypeStateIssuer
100915892MedicaidPA
D16766MedicaidSC

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
I20141024001053 SC Practitioner - Optometry 7618958406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1998
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)

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

912 Inlet Square Dr
Suite C
Murrells Inlet, SC 29576-7812
Phone (843) 299-2485

Merit-based Incentive Payment System (MIPS)

Final score
94.55 of 100Reported as individual
Quality
96.9
Promoting interoperability
100
Improvement activities
30

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1676SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Sight, PL Optometrist Current Accepting new patients
Carolina Eyecare Physicians LLC CurrentSince Oct 1, 2022 Accepting new patients
Carolina Eyecare Physicians, LLC Optometrist Past Accepting new patients

Locations

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

11947 Grandhaven Dr
Ste M
Murrells Inlt, SC 29576
Phone (843) 299-2465

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

Interoperability endpoints

  • Direct secure messaging: sthomas@useye.intellechartdirect.net

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1295736445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11947 GRANDHAVEN DR STE M",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295767862",
            "telephone_number": "843-299-2485",
            "fax_number": "843-299-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 INLET SQUARE DR STE B",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295767812",
            "telephone_number": "843-299-2485",
            "fax_number": "843-299-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SHAWN",
        "middle_name": "D",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "SC",
            "license": "1676",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100915892",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D16766",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

Verify at the official NPI Registry.