Patrick K Fahey, O.D,

Primary specialty

OptometristTaxonomy code 152W00000X

License

1383 Issued in SC

Practice address

3950 Grandview Dr
Simpsonville, SC 29680-3163

Phone

(864) 963-6168

NPI assigned

May 13, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Optometry

Education

Southern College of Optometry, 1983

Medicare assignment

May accept Medicare assignment

Group practices

Branscum VisionGroup PAC ID 2264870740, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Branscum Vision

  • Optometrist
  • Simpsonville, SC
  • NPI 1144091323
  Medicare reassignment Care Compare group NPD
• Eye Care Associates of SC LLC

  • Optometrist
  • Chapin, SC
  • NPI 1679046569
  Medicare reassignment
• Vision Unlimited

  dba Dr Elizabeth D Todd and Associates

  • Optometrist
  • Hendersonville, NC
  • NPI 1639288285
  NPD (past) Authorized official
• F Mason Smith

  dba F. Mason Smith, O.D.

  • Optometrist
  • Mount Pleasant, SC
  • NPI 1477795722
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1316358245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1025",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287931025",
            "telephone_number": "828-329-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 GRANDVIEW DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296803163",
            "telephone_number": "864-963-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHEY",
        "first_name": "PATRICK",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-13",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1383",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "958-224T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3170T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Evans, MD
• Duncan Evans, DPT
• Excalibur Youth Services, LLC. (Broadstep Academy-SC Inc)
• Excalibur Youth Services, LLC.
• Excellence Home Care LLC
• Jessica Fairfax, LMFT
• Fairview Family Practice
• Family Chiropractic Clinic
• Family Dental Health of Fairview LLC
• Family Dental Health of Five Forks LLC

• Optometrist in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.