Active NPI
Mark Wayne Foust, O.D.
- Optometrist
- Rock Hill, SC
National Provider Identifier
1588647598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 926
- Practice address
- 1507 Ebenezer Rd
Rock Hill, SC 29732 - Phone
- (803) 328-5400
- NPI assigned
- Nov 22, 2005
- Last updated
- Oct 30, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 926 | SC | Primary |
Addresses
Primary practice location
1507 Ebenezer Rd
Rock Hill, SC 29732
Mailing address
PO Box 36545
Rock Hill, SC 29732-0509
Phone (803) 328-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D09269 | Medicaid | SC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100929001474 | SC | Practitioner - Optometry | 8820114630 | Practice locations: Rock Hill, SC |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1507 Ebenezer Rd
Rock Hill, SC 29732-1806
Phone (803) 328-5400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1588647598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36545",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297320509",
"telephone_number": "803-328-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 EBENEZER RD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "29732",
"telephone_number": "803-328-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOUST",
"first_name": "MARK",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "926",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D09269",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.