Solita Jones Bergelt, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1835 Issued in SC

Practice address

2672 David H McLeod Blvd
Florence, SC 29501-4042

Phone

(843) 773-2758

NPI assigned

Jul 16, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Solita Jones Bergelt Professional name

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

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bergelt Optometric LLCGroup PAC ID 5092007666, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations (25 of 27)

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.

• Bergelt Optometric LLC

  • Optometrist
  • Florence, SC
  • NPI 1386002467
  Medicare reassignment Care Compare group NPD Authorized official
• Eyes Over Carolina PC

  • Optometrist
  • Hartsville, SC
  • NPI 1861803520
  Medicare reassignment NPD

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1487061925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2672 DAVID H MCLEOD BLVD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014042",
            "telephone_number": "843-773-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2672 DAVID H MCLEOD BLVD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014042",
            "telephone_number": "843-773-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGELT",
        "first_name": "SOLITA",
        "middle_name": "JONES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-16",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOLITA",
            "last_name": "BERGELT",
            "middle_name": "JONES",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Latasha Benjamin
• Janet Bennett, CNP
• Meagan Mahoney Bennett, NP
• Kinsley Hunter Benson
• Bergelt Optometric LLC
• Jon Keith Bergrin, DC
• Yoseph Berhane, MD
• Berry Health, LLC
• Carol Ann Berry, FNP
• Brandi Lakevis Bess

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.