Individual provider Active NPI

Nicole P Sherman, O.D.

  • Optometrist
  • Columbia, SC
National Provider Identifier
1609056340
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1486 Issued in SC
Practice address
7367 Two Notch Rd
Columbia, SC 29223-7619
Phone
(803) 788-1335
NPI assigned
Nov 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1486 SC Primary

Addresses

Primary practice location

7367 Two Notch Rd
Columbia, SC 29223-7619

Mailing address

7367 Two Notch Rd
Columbia, SC 29223-7619
Phone (803) 788-1335

Other identifiers 1

IdentifierTypeStateIssuer
DO2039OtherSCRR MEDICARE GP PTAN

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
I20250311001292 SC Practitioner - Optometry 6901087022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg South Carolina Professional PCGroup PAC ID 5597129064, 16 clinicians

Practice addresses (Care Compare)

2313 N Beltline Blvd
Columbia, SC 29204-3416
Phone (803) 788-1335

4225 Carolina Exchange Dr
Suite a
Myrtle Beach, SC 29579-4221
Phone (843) 903-6262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1486SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg South Carolina Professional PC Optometrist CurrentSince Jan 2, 2025 Accepting new patients
Coastal Grand Eye Associates LTD. Co. Optometrist PastSince Mar 17, 2004 Accepting new patients
Sansbury Eye Center Past Accepting new patients
Carolina Forest Family Eyecare, P.a. Optometrist Past Accepting new patients

Locations

111 E 4th St
Ste 440
Alton, IL 62002

2313 N Beltline Blvd
Columbia, SC 29204
Phone (803) 788-1335

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": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1609056340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7367 TWO NOTCH RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237619",
            "telephone_number": "803-788-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7367 TWO NOTCH RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237619",
            "telephone_number": "803-788-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "NICOLE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-09",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GP PTAN",
            "identifier": "DO2039",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.