Raymond Ellsworth Jimison II, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

634 Issued in SC

Practice address

11 Robert Smalls Pkwy
Beaufort, SC 29906-4216

Phone

(843) 524-8302

Fax

(843) 379-5974

NPI assigned

Apr 24, 2006

Last updated

Feb 21, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Care Associates of SC LLC

  • Optometrist
  • Chapin, SC
  • NPI 1679046569
  Medicare reassignment NPD
• F Mason Smith

  dba F. Mason Smith, O.D.

  • Optometrist
  • Mount Pleasant, SC
  • NPI 1477795722
  NPD (past)
• R. E. Jimison

  • Eyewear Supplier
  • Beaufort, SC
  • NPI 1639358724
  NPD (past)

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298246400000",
    "number": "1346206919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4207",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299034207",
            "telephone_number": "843-846-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ROBERT SMALLS PKWY",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299064216",
            "telephone_number": "843-524-8302",
            "fax_number": "843-379-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMISON",
        "first_name": "RAYMOND",
        "middle_name": "ELLSWORTH",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2011-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140732",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roseella Jeanbaptiste
• Dennis Sherwood Jenkins, RPH
• Shavon Jenkins
• Jennifer Renee Cazales (Cazales Autism Services)
• Jalissa Ann Jerry
• Ferine N. Johannes, O.D.
• Sara Johannesmeyer, D.M.D.
• Lashawn Johnson Cromwell
• Colin Mitchell Johnson, MD
• Jannifer Johnson, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.