David G Porter, OPTOMETRIST

Primary specialty

OptometristTaxonomy code 152W00000X

License

642 Issued in SC

Practice address

1220 N Fant St
Anderson, SC 29621-4822

Phone

(864) 226-6005

Fax

(864) 225-1139

NPI assigned

Nov 14, 2005

Sex

Male

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Anderson Optometric Associates

  • Optometrist
  • Williamston, SC
  • NPI 1487635702
  Medicare reassignment NPD
• Anderson Optometric Associates

  • Optometrist
  • Anderson, SC
  • NPI 1174504401
  NPD

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1477534782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 838",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296220838",
            "telephone_number": "864-224-8707",
            "fax_number": "894-225-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214822",
            "telephone_number": "864-226-6005",
            "fax_number": "864-225-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "DAVID",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "365191",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Poole
• Kimberly A Poore, COTA
• Teresa W. Popham, RPTA
• Eleanor D. Popoola
• Paige Reid Porrello, AU.D
• Abby Poston
• Anna Potter
• Ashley Potter
• David W Potts, MD
• Donna M Potts, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.

Verify at the official NPI Registry.