Sandra L Kozel-Diamond, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1409 Issued in SC

Practice address

4000 Highway 9 E
Suite 260
Little River, SC 29566-7833

Phone

(843) 390-0058

Fax

(843) 390-0999

NPI assigned

Sep 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Associates of Little River LLC 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

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.

• Eye Associates of Little River, LLC

  • Optometrist
  • Little River, SC
  • NPI 1568404044
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of North Carolina PLLC

  • Optometrist
  • Washington, NC
  • NPI 1043268295
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1316933989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 BUR OAK CT",
            "address_2": "APT D",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295795273",
            "telephone_number": "843-333-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 HIGHWAY 9 E",
            "address_2": "SUITE 260",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295667833",
            "telephone_number": "843-390-0058",
            "fax_number": "843-390-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZEL-DIAMOND",
        "first_name": "SANDRA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1241",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D14090",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Jae Kennard, M.S.
• Ellen Cecil King, LPC
• Merritt H. King III, MD
• Knight Family Legacy LLC
• Nicholas Koroneos, MS, DO
• Lyn-Marie Kuball, FNP
• Robin Sue Labod, D.C.
• Heidi Sara Lagasse, COTA/L
• Viki Lambertus, FNP
• Jason Landino, DMD

• All providers in Little River, SC
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.