Active NPI
Chad A Carlsson, OD
- Optometrist
- Loris, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2242
- Practice address
- 3911 Main St
Loris, SC 29569-3017 - Phone
- (864) 654-6706
- Fax
- (843) 756-6667
- NPI assigned
- Sep 30, 2005
- Last updated
- Sep 10, 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 | 2242 | SC | Primary |
Addresses
Primary practice location
3911 Main St
Loris, SC 29569-3017
Mailing address
PO Box 11407
Birmingham, AL 35246-8575
Phone (864) 359-1308
Other practice location 1
1003 Prince St
Georgetown, SC 29440-3551
Phone (843) 543-6333
Other practice location 2
2614 E Highway 76
Marion, SC 29571-6840
Phone (864) 654-6706
Other practice location 3
380 W Wesmark Blvd
Sumter, SC 29150-1977
Phone (864) 654-6706
Other practice location 4
400 N Cashua Dr
Florence, SC 29501-2098
Phone (864) 654-6706
Other practice location 5
710 Hopewell Dr Ste 106
Charleston, SC 29492-7108
Phone (843) 543-6333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11555337 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, 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
- Illinois College of Optometry at Chicago, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3911 Main St
Loris, SC 29569-3017
Phone (864) 654-6706
710 Hopewell Dr
Suite 106
Charleston, SC 29492-7108
Phone (843) 543-6333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1350 | AZ | MD | Professional Counselor |
| 2242 | SC | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Eyewear | Optometrist | Current | Accepting new patients |
| Look of South Carolina PA | Optometrist | Current | Accepting new patients |
| Clemson Eye, PA | Optometrist | Current | Accepting new patients |
| Coastal Eye Group, P.C. | Current | Accepting new patients | |
| Dawn C Stratton OD PSC | Optometrist | Current | Accepting new patients |
| Coastal Eye Group, P.C. | Current | Accepting new patients | |
| F Mason Smith | Optometrist | Past | Accepting new patients |
| Clemson Eye, PA | Optometrist | Past | Accepting new patients |
Locations
535 Wellington Way
Ste 160
Lexington, KY 40503
Phone (859) 245-2020
710 Hopewell Dr
Ste 106
Charleston, SC 29492
Phone (480) 580-6671
400 N Cashua Dr
Florence, SC 29501
Phone (843) 664-9398
1003 Prince St
Georgetown, SC 29440
Phone (843) 543-6333
1200 Highmarket St
Georgetown, SC 29440
Phone (843) 546-8421
3911 Main St
Loris, SC 29569
Phone (843) 756-1262
4055 Highway 17
Murrells Inlt, SC 29576
Phone (843) 652-3937
380 W Wesmark Blvd
Sumter, SC 29150
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 8
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
- Charleston, SC
- NPI 1376284299
-
- Ophthalmology Physician
- Murrells Inlet, SC
- NPI 1821142266
-
- Ophthalmology Physician
- Myrtle Beach, SC
- NPI 1477663706
-
- Optometrist
- Hartsville, SC
- NPI 1629686373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1508853904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11407",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352468575",
"telephone_number": "864-359-1308",
"fax_number": "239-496-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3911 MAIN ST",
"city": "LORIS",
"state": "SC",
"postal_code": "295693017",
"telephone_number": "864-654-6706",
"fax_number": "843-756-6667"
}
],
"practiceLocations": [
{
"address_1": "1003 Prince St",
"address_purpose": "LOCATION",
"city": "Georgetown",
"state": "SC",
"postal_code": "294403551",
"country_code": "US",
"telephone_number": "843-543-6333",
"fax_number": "843-543-6332",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2614 E Highway 76",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "SC",
"postal_code": "295716840",
"country_code": "US",
"telephone_number": "864-654-6706",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "380 W Wesmark Blvd",
"address_purpose": "LOCATION",
"city": "Sumter",
"state": "SC",
"postal_code": "291501977",
"country_code": "US",
"telephone_number": "864-654-6706",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 N Cashua Dr",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "SC",
"postal_code": "295012098",
"country_code": "US",
"telephone_number": "864-654-6706",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "710 Hopewell Dr Ste 106",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294927108",
"country_code": "US",
"telephone_number": "843-543-6333",
"fax_number": "843-543-6332",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARLSSON",
"first_name": "CHAD",
"middle_name": "A",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "2242",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11555337",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loris, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.