Individual provider Active NPI

Hannah Lane, OD

  • Optometrist
  • Conway, SC
National Provider Identifier
1346860491
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2178 Issued in SC
Practice address
1406 Main St
Conway, SC 29526-3567
Phone
(843) 488-2020
Fax
(843) 488-9659
NPI assigned
Apr 19, 2020
Last updated
Dec 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2178 SC Primary

Addresses

Primary practice location

1406 Main St
Conway, SC 29526-3567

Mailing address

1406 Main St
Conway, SC 29526-3567
Phone (843) 488-2020

Other names 1

  • Hannah Williams Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210715002913 SC Practitioner - Optometry 7214339068 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
76.34 of 100Reported as group
Quality
59.52
Improvement activities
40
Cost
75.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes on Aynor LLC Optometrist Current Accepting new patients
Aeg South Carolina Professional PC Optometrist CurrentSince Aug 18, 2023 Accepting new patients
Carolina Forest Family Eyecare, P.a. Optometrist CurrentSince May 1, 2023 Accepting new patients

Locations

4225 Carolina Exchange Dr
Myrtle Beach, SC 29579
Phone (843) 903-6262

4225 Carolina Exchange Dr
#A
Myrtle Beach, SC 29579
Phone (843) 903-6262

Organizations & group practices 3

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": "1587254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1346860491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 MAIN ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263567",
            "telephone_number": "843-488-2020",
            "fax_number": "843-488-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 MAIN ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263567",
            "telephone_number": "843-488-2020",
            "fax_number": "843-488-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "HANNAH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-19",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "WILLIAMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.