NPIMap

Organization Active NPI

Bergelt Optometric LLC

  • Optometrist
  • Florence, SC
National Provider Identifier
1386002467
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1835 Issued in SC
Legal business name
BERGELT OPTOMETRIC LLC
Practice address
2672 David McLeod Blvd
Florence, SC 29501
Phone
(803) 760-0301
NPI assigned
Feb 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Solita Jones Bergelt, O.D.NPI 1487061925
Title
Optometrist/Owner
Phone
(910) 736-9833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1835 SC Primary

Addresses

Primary practice location

2672 David McLeod Blvd
Florence, SC 29501

Mailing address

1005 Brentwood CT
Columbia, SC 29206-2871
Phone (910) 736-9833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160630001588 SC Part B Supplier - Clinic/Group Practice 5092007666 Receives reassigned benefits from 17 practitioners
Practice locations: West Columbia, SC; Walterboro, SC; Sumter, SC; Columbia, SC; Orangeburg, SC; North Augusta, SC; Myrtle Beach, SC; Murrells Inlet, SC…

National Provider Directory

National Provider Directory

Locations

1310 N Fraser St
#700
Georgetown, SC 29440
Phone (843) 546-8946

508 NW Bypass 72
Greenwood, SC 29649
Phone (864) 229-8008

2812 Main St
Newberry, SC 29108
Phone (803) 276-2211

1014 Edgefield Rd
North Augusta, SC 29860

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1386002467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 BRENTWOOD CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292062871",
            "telephone_number": "910-736-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2672 DAVID MCLEOD BLVD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29501",
            "telephone_number": "803-760-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGELT OPTOMETRIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "BERGELT",
        "authorized_official_first_name": "SOLITA",
        "authorized_official_middle_name": "JONES",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "910-736-9833",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.