Individual provider Active NPI

Chad Daniel Mahaffey, O.D.

  • Optometrist
  • Columbia, SC
National Provider Identifier
1316291206
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT2182 Issued in SC
Practice address
189 Harbison Blvd Ste a
Columbia, SC 29212-2215
Phone
(803) 223-9026
NPI assigned
Oct 31, 2012
Last updated
Mar 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT2182 SC Primary
Optometrist 152W00000X OPC4755 FL

Addresses

Primary practice location

189 Harbison Blvd Ste a
Columbia, SC 29212-2215

Mailing address

217 Forecastle CT
Lexington, SC 29072-9268
Phone (865) 985-9092

Other practice location 1

2344 N University Dr
Coral Springs, FL 33065-5122
Phone (954) 344-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OPC4755FLMDOptometrist
OPT2182SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel & Max, LLC Optometrist CurrentSince Mar 7, 2021 Accepting new patients

Locations

189 Harbison Blvd
#A
Columbia, SC 29212
Phone (803) 223-9026

Organizations & group practices 1

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": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1316291206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 FORECASTLE CT",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729268",
            "telephone_number": "865-985-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 HARBISON BLVD STE A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292122215",
            "telephone_number": "803-223-9026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2344 N University Dr",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330655122",
            "country_code": "US",
            "telephone_number": "954-344-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHAFFEY",
        "first_name": "CHAD",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-31",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "OPT2182",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.