Maria Shields Dickerson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1336 Issued in SC

Practice address

1007 Kincaid Bridge Rd
Winnsboro, SC 29180-7113

Phone

(803) 635-6496

Fax

(803) 635-6932

NPI assigned

May 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Southern College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care Associates of SC LLCGroup PAC ID 4587998802, 63 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Eye Care Associates of SC LLC

  • Optometrist
  • Chapin, SC
  • NPI 1679046569
  Medicare reassignment Care Compare group
• Eye Associates of Cayce - West Columbia

  • Optometrist
  • Cayce West Columbia, SC
  • NPI 1952490237
  NPD (past)
• Eye Associates of Winnsboro

  • Optometrist
  • Winnsboro, SC
  • NPI 1003851775
  NPD (past)
• F Mason Smith

  • Optometrist
  • Mt Pleasant, SC
  • NPI 1477795722
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1457304560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ODELL ST",
            "city": "WHITMIRE",
            "state": "SC",
            "postal_code": "291781117",
            "telephone_number": "803-694-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 KINCAID BRIDGE RD",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291807113",
            "telephone_number": "803-635-6496",
            "fax_number": "803-635-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "MARIA",
        "middle_name": "SHIELDS",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D13368",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Cooper, NP
• Donald Crawford
• Davis and Davis Health Center
• Kathleen M Dean, LISW-CP
• Brenna B. Delaine, M.D.
• Margarite H. Dunn, LAC,LMSW, AADC, CS
• Dva Healthcare Renal Care Inc
• Jamie Easterling, FNP-C
• Eau Claire Cooperative Health Center, Inc
• Catina Ellis-Patterson, CPRS, SAS

• Optometrist in Winnsboro, SC
• Providers in Winnsboro, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.