Individual provider Active NPI

Bernadine Marie Donaldson, O. D.

  • Optometrist
  • Laurens, SC
National Provider Identifier
1578875134
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1595 Issued in SC
Practice address
106 S Public SQ
Laurens, SC 29360-2923
Phone
(864) 984-2020
Fax
(864) 984-0336
NPI assigned
Jul 11, 2010
Reactivated
Nov 6, 2025
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1595 SC Primary

Addresses

Primary practice location

106 S Public SQ
Laurens, SC 29360-2923

Mailing address

106 S Public SQ
Laurens, SC 29360-2923
Phone (864) 984-2020

Other identifiers 2

IdentifierTypeStateIssuer
753176906OtherSCMEDICARE ID
271803882OtherSCTAX ID

Other names 1

  • Ms. Bernadine Marie Kalenkoski Former name

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
I20101103000387 SC Practitioner - Optometry 9537353651 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

106 S Public SQ
Laurens, SC 29360-2923
Phone (864) 984-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Donaldson Eye Care, LLC Optometrist CurrentSince Jun 1, 2017 Accepting new patients
Macmillan Optical, Inc CurrentSince Aug 29, 2010 Accepting new patients

Locations

118 Musgrove St
Clinton, SC 29325
Phone (864) 833-5555

106 S Public Sq
Laurens, SC 29360
Phone (864) 984-2020

227 E Blackstock Rd
Ste 200
Spartanburg, SC 29301
Phone (864) 576-0564

Interoperability endpoints

  • Direct secure messaging: bdonaldson@macmillanopticalinc.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1278806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1578875134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S PUBLIC SQ",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293602923",
            "telephone_number": "864-984-2020",
            "fax_number": "864-984-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S PUBLIC SQ",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293602923",
            "telephone_number": "864-984-2020",
            "fax_number": "864-984-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "BERNADINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-11",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "deactivation_date": "2025-10-14",
        "reactivation_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "753176906",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "271803882",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERNADINE",
            "last_name": "KALENKOSKI",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laurens, SC

Sources for this page

Verify at the official NPI Registry.