Individual provider Active NPI

Dirk Graves, O.D.,M.N.S.

  • Optometrist
  • Anderson, SC
National Provider Identifier
1548215015
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1140 Issued in SC
Practice address
2808 E. North Ave.
Anderson, SC 29625-2300
Phone
(864) 226-6041
Fax
(864) 226-1299
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1140 SC Primary

Addresses

Primary practice location

2808 E. North Ave.
Anderson, SC 29625-2300

Mailing address

2808 E. North Ave.
Anderson, SC 29625-2300
Phone (864) 226-6041

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
I20090708000363 SC Practitioner - Optometry 0143371922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Vision of Anderson PAGroup PAC ID 8224303227, 6 clinicians

Practice addresses (Care Compare)

2808 E N Ave
Anderson, SC 29625-2300
Phone (864) 226-6041

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Vision of Anderson PA Optometrist CurrentSince Jul 24, 2017 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

518 College Ave
Ste 200
Clemson, SC 29631
Phone (864) 226-6041

900A Greenville Dr
Williamston, SC 29697
Phone (864) 847-7657

Organizations & group practices 1

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1548215015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 E. NORTH AVE.",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296252300",
            "telephone_number": "864-226-6041",
            "fax_number": "864-226-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 E. NORTH AVE.",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296252300",
            "telephone_number": "864-226-6041",
            "fax_number": "864-226-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "DIRK",
        "name_prefix": "Dr.",
        "credential": "O.D.,M.N.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.