Individual provider Active NPI

Joanna Lynn Corbit, O.D.

  • Optometrist
  • Charleston, SC
National Provider Identifier
1376688846
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5279 Issued in OH
Practice address
1951 Clements Ferry Rd Ste 203
Charleston, SC 29492
Phone
(843) 471-2378
Fax
(843) 492-4806
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5279 OH Primary

Addresses

Primary practice location

1951 Clements Ferry Rd Ste 203
Charleston, SC 29492

Mailing address

1951 Clements Ferry Rd Ste 203
Charleston, SC 29492-8325
Phone (843) 471-2378

Other practice location 1

4004 Tuscarawas St W
Canton, OH 44708-5503
Phone (330) 479-9750

Other identifiers 1

IdentifierTypeStateIssuer
D19807MedicaidSC

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
I20181004001376 SC Practitioner - Optometry 3476519760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1951 Clements Ferry Rd
Suite 203
Charleston, SC 29492-8325
Phone (843) 471-2378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5279OHMDPsychologist
1980SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
All Eyes Vision Care LLC Optometrist CurrentSince Aug 21, 2018 Accepting new patients
Dr Michael O'Reilly & Associates LLC Optometrist Past Accepting new patients

Locations

1951 Clements Ferry Rd
Ste 203
Charleston, SC 29492
Phone (330) 338-2949

Organizations & group practices 2

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1376688846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 CLEMENTS FERRY RD STE 203",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294928325",
            "telephone_number": "843-471-2378",
            "fax_number": "843-492-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 CLEMENTS FERRY RD STE 203",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29492",
            "telephone_number": "843-471-2378",
            "fax_number": "843-492-4806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4004 Tuscarawas St W",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447085503",
            "country_code": "US",
            "telephone_number": "330-479-9750",
            "fax_number": "330-479-9752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORBIT",
        "first_name": "JOANNA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D19807",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.