Active NPI
David Clayton Hicks, O.D.
- Optometrist
- Spartanburg, SC
National Provider Identifier
1366422545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1987
- Practice address
- 404 McCravy Dr Ste B
Spartanburg, SC 29303-3178 - Phone
- (864) 585-2249
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1984 | TN | |
| Optometrist | 152W00000X | 1987 | SC | Primary |
Addresses
Primary practice location
404 McCravy Dr Ste B
Spartanburg, SC 29303-3178
Mailing address
PO Box 1229
Saluda, NC 28773-1229
Phone (401) 222-9521
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1984 | TN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilkins Opticians of Spartanburg,Inc | Optometrist | Current | Accepting new patients |
Locations
404 McCravy Dr
Ste B
Spartanburg, SC 29303
Phone (864) 283-9573
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1366422545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1229",
"city": "SALUDA",
"state": "NC",
"postal_code": "287731229",
"telephone_number": "401-222-9521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 MCCRAVY DR STE B",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293033178",
"telephone_number": "864-585-2249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "DAVID",
"middle_name": "CLAYTON",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "1984",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.