Active NPI
Chad Daniel Mahaffey, O.D.
- Optometrist
- Columbia, SC
National Provider Identifier
1316291206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT2182
- Practice address
- 189 Harbison Blvd Ste a
Columbia, SC 29212-2215 - Phone
- (803) 223-9026
- NPI assigned
- Oct 31, 2012
- Last updated
- Mar 3, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| OPC4755 | FL | MD | Optometrist |
| OPT2182 | SC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel & Max, LLC | Optometrist | Current | 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.