Active NPI
Nicol L. Mayfield, O.D.
- Optometrist
- Goose Creek, SC
National Provider Identifier
1487604898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2148
- Practice address
- 110 Nnptc Cir
Goose Creek, SC 29445-6314 - Phone
- (843) 794-6881
- Fax
- (843) 794-6041
- NPI assigned
- May 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2148 | SC | Primary |
Addresses
Primary practice location
110 Nnptc Cir
Goose Creek, SC 29445-6314
Mailing address
1233 Blue Sky LN
Charleston, SC 29492-8158
Phone (402) 312-6319
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SCH673J061 | Other | SC | MEDICARE PTAN |
Other names 1
- Nicol L Matusik
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1125 | NE | MD | Clinical Social Worker |
| 2148 | SC | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Eyecare Center, LLC | Optometrist | Current | Accepting new patients |
| F Mason Smith | Optometrist | Past | Accepting new patients |
| Lincoln Vision Clinic, P.C. | Optometrist | Past | Accepting new patients |
| Lincoln Vision Center PC | Optometrist | Past | Accepting new patients |
| Cayuga Medical Associates, PC | Past | Accepting new patients | |
| Robert J. Arleo, MD,PC | Past | Accepting new patients |
Locations
1118 Park West Blvd
Ste 5
Mt Pleasant, SC 29466
Phone (843) 856-4775
Organizations & group practices 6
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.
-
- Optometrist
- Mount Pleasant, SC
- NPI 1598924151
-
- Optometrist
- Mt Pleasant, SC
- NPI 1477795722
-
- Internal Medicine Physician
- Ithaca, NY
- NPI 1679525455
-
- Optometrist
- Wahoo, NE
- NPI 1316020613
-
- Optometrist
- Lincoln, NE
- NPI 1558394494
-
- Specialist
- Ithaca, NY
- NPI 1932215241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1487604898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 BLUE SKY LN",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294928158",
"telephone_number": "402-312-6319",
"fax_number": "607-257-3972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 NNPTC CIR",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294456314",
"telephone_number": "843-794-6881",
"fax_number": "843-794-6041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYFIELD",
"first_name": "NICOL",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "2148",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "SCH673J061",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NICOL",
"last_name": "MATUSIK",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Goose Creek, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.