Nickolas Andrew Vastis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1423 Issued in SC

Practice address

350 Harbison Blvd
Columbia, SC 29212-2248

Phone

(803) 749-6878

NPI assigned

Sep 11, 2006

Sex

Male

Sole proprietor

Yes

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.

• Optique

  • Optometrist
  • Fort Mill, SC
  • NPI 1891048872

  Optometrist, SC

  Medicare reassignment Care Compare group NPD Authorized official
• East Coast Optometric, Inc

  • Optometrist
  • Columbia, SC
  • NPI 1790862597

  Optometrist

  NPD (past)

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optique 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2012.

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1376647396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 CRESTMONT RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297027",
            "telephone_number": "803-699-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HARBISON BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292122248",
            "telephone_number": "803-749-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASTIS",
        "first_name": "NICKOLAS",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivek Varughese
• Allison Christine Varwig
• Madison Vasquez, RBT
• Robin Vassey
• Brook A Vastis, OD
• Vikram Reddy Vattipally, MD
• Andrew Douglas Vaughan, M.D.
• Dorothy E. Vaughan, REGISTERED NURSE
• George Dennis Vaughan III, M.D.
• Jennifer Vaughan, DPT

• All providers in Columbia, SC
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.