Active NPI
Jake Pray, OD
- Optometrist
- Walhalla, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2399
- Practice address
- 105 N Earle St
Walhalla, SC 29691-2419 - Phone
- (864) 638-9505
- Fax
- (864) 638-9979
- NPI assigned
- May 11, 2017
- Last updated
- Jun 5, 2026
- Sex
- Male
- 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 | 2399 | SC | Primary |
Addresses
Primary practice location
105 N Earle St
Walhalla, SC 29691-2419
Mailing address
105 N Earle St
Walhalla, SC 29691-2419
Phone (864) 638-9505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 N Earle St
Walhalla, SC 29691-2419
Phone (864) 638-9505
2808 E N Ave
Anderson, SC 29625-2300
Phone (864) 226-6041
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.73 of 100
- Quality
- 99.46
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Vision PC | Optometrist | Current | Accepting new patients |
| Memorial Medical Center Inc | Current | Accepting new patients | |
| Advanced Family Eyecare | Optometrist | Current | Accepting new patients |
| Family Vision of Anderson PA | Optometrist | Current | Accepting new patients |
| Memorial Medical Center Inc | Current | Accepting new patients | |
| Scott W Nebel OD LLC | Optometrist | Current | Accepting new patients |
Locations
2808 E North Ave
Anderson, SC 29625
Phone (864) 226-6041
518 College Ave
Clemson, SC 29631
Phone (864) 226-6041
105 N Earle St
Walhalla, SC 29691
Phone (864) 638-9505
900A Greenville Dr
Williamston, SC 29697
Phone (864) 847-7657
1615 Maple Ln
Ashland, WI 54806
Phone (715) 682-4563
308 W Fulton St
Waupaca, WI 54981
Phone (715) 258-8168
Interoperability endpoints
- jake.pray@direct.revolutionehr.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Waupaca, WI
- NPI 1578640223
-
dba Tamarack Health Ashland Medical Center
- Critical Access Hospital
- Ashland, WI
- NPI 1437179231
-
- Optometrist
- Anderson, SC
- NPI 1427552447
-
dba Tamarack Health Ashland Clinic
- Rural Health Clinic/Center
- Ashland, WI
- NPI 1770255937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1508392465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 N EARLE ST",
"city": "WALHALLA",
"state": "SC",
"postal_code": "296912419",
"telephone_number": "864-638-9505",
"fax_number": "864-638-9979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 N EARLE ST",
"city": "WALHALLA",
"state": "SC",
"postal_code": "296912419",
"telephone_number": "864-638-9505",
"fax_number": "864-638-9979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRAY",
"first_name": "JAKE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-11",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "2399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walhalla, SC
- Natasha D Moses, LPC
- Holly Nichole Munson, D.O.
- Oconee Medical Associates, PA
- Valerie Lynda Osborne
- Ivra Yvette Pace, LPC
- Prisma Health-Upstate (Prisma Health Family Medicine-Walhalla)
- Prisma Health-Upstate (Prisma Health Family Medicine-Walhalla)
- Aleca Queen
- Rise Therapy & Wellness, LLC
- SC Department of Juvenile Justice
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.