Individual provider Active NPI

Anthony B Lowe, O.D.

  • Optometrist
  • Myrtle Beach, SC
National Provider Identifier
1528095841
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1410 Issued in SC
Practice address
1021 Oak Forest LN
Myrtle Beach, SC 29577-9795
Phone
(304) 206-8354
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1019-OD WV
Optometrist 152W00000X 1410 SC Primary
Optometrist 152W00000X OPT002380 GA

Addresses

Primary practice location

1021 Oak Forest LN
Myrtle Beach, SC 29577-9795

Mailing address

113 Citadel Dr
Conway, SC 29526-8871
Phone (304) 206-8354

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070612000206 SC Practitioner - Optometry 8224090808 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1410SCMDClinical Social Worker
OPT002380GAMDOptometrist
1019-ODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg South Carolina Professional PC Optometrist CurrentSince Sep 14, 2025 Accepting new patients
Access Vision Optometrist Past Accepting new patients
Carolina Forest Family Eyecare, P.a. Optometrist PastSince Sep 14, 2025 Accepting new patients
University Physicians & Surgeons, Inc. Past Accepting new patients

Locations

4225 Carolina Exchange Dr
#A
Myrtle Beach, SC 29579
Phone (843) 903-6262

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1528095841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CITADEL DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268871",
            "telephone_number": "304-206-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 OAK FOREST LN",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295779795",
            "telephone_number": "304-206-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWE",
        "first_name": "ANTHONY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "1019-OD",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1410",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002380",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.