Individual provider Active NPI

Brenda Flores Schizas, O.D.

  • Optometrist
  • Summerville, SC
National Provider Identifier
1356710776
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1890 Issued in SC
Practice address
717 Trolley Rd Ste 3
Summerville, SC 29485-5287
Phone
(843) 873-1889
NPI assigned
Sep 15, 2015
Last updated
Feb 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 5127 FL
Optometrist 152W00000X 1890 SC Primary

Addresses

Primary practice location

717 Trolley Rd Ste 3
Summerville, SC 29485-5287

Mailing address

717 Trolley Rd Ste 3
Summerville, SC 29485-5287

Other names 1

  • Brenda Flores Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20220627001906 GA Practitioner - Optometry 4486923828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Depoe Eye Center PCGroup PAC ID 8224927702, 14 clinicians

Practice addresses (Care Compare)

Git Stamps Student Ctr Commons
350 Ferst Dr N.W.
Atlanta, GA 30332-0458
Phone (404) 385-2701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 5127FLMDOptometrist
1890SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Depoe Eye Center PC Optometrist CurrentSince Sep 6, 2022 Accepting new patients
Family First Vision Care Georgia Optometrist CurrentSince Jun 6, 2022 Accepting new patients
Eye Care Associates of SC LLC Optometrist PastSince Feb 5, 2017 Accepting new patients

Locations

1030 13th St
Columbus, GA 31901
Phone (706) 327-3937

1498 Merchants Dr
Dallas, GA 30132
Phone (770) 445-2715

128 N Park Dr
Fayetteville, GA 30214
Phone (770) 461-3060

890 Dawsonville Hwy
Ste A
Gainesville, GA 30501
Phone (770) 532-2176

681 S 8th St
Griffin, GA 30224
Phone (770) 228-2020

300 N Main St
Ste 301
Jonesboro, GA 30236
Phone (770) 603-0063

5451 Bowman Rd
Ste 420
Macon, GA 31210
Phone (478) 741-3960

1401 Johnson Ferry Rd
Ste 148B
Marietta, GA 30062
Phone (770) 509-8480

110 Southpoint Blvd
McDonough, GA 30253
Phone (770) 228-2020

10775 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 998-0331

550 Eagles Landing Pkwy
Ste 208
Stockbridge, GA 30281
Phone (770) 415-8982

316 S Hamilton Rd
Gahanna, OH 43230

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": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1356710776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 TROLLEY RD STE 3",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 TROLLEY RD STE 3",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855287",
            "telephone_number": "843-873-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIZAS",
        "first_name": "BRENDA",
        "middle_name": "FLORES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 5127",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "FLORES",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.