Active NPI
David Jeffrey Matthews, O.D.
- Optometrist
- Columbia, SC
National Provider Identifier
1588775423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1034
- Practice address
- 3928 Rosewood Dr
Columbia, SC 29205-3536 - Phone
- (803) 787-0107
- Fax
- (803) 787-0109
- NPI assigned
- Aug 31, 2006
- Last updated
- Jul 8, 2007
- 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 | 1034 | SC | Primary |
Addresses
Primary practice location
3928 Rosewood Dr
Columbia, SC 29205-3536
Mailing address
PO Box 50367
Columbia, SC 29250-0367
Phone (803) 787-0107
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D10343 | Medicaid | SC | |
| 0005811543 | Other | ETNA / OWENS CORNING | |
| 410035583 | Other | SC | RAILROAD MEDICARE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2421 Devine St
Columbia, SC 29205-2405
Phone (803) 376-4545
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Devine Eyes Inc | Optometrist | Current | Accepting new patients |
| Palmetto Eye Associates | Optometrist | Past | Accepting new patients |
Locations
2421 Devine St
Columbia, SC 29205
Phone (803) 376-4545
Organizations & group practices 2
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
- Columbia, SC
- NPI 1366481210
-
- Optometrist
- Columbia, SC
- NPI 1972549954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588775423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50367",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292500367",
"telephone_number": "803-787-0107",
"fax_number": "803-787-0109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3928 ROSEWOOD DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292053536",
"telephone_number": "803-787-0107",
"fax_number": "803-787-0109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "DAVID",
"middle_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1034",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D10343",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ETNA / OWENS CORNING",
"identifier": "0005811543",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410035583",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.