Active NPI
Jennifer Threatt Perry, M.D.
- Ophthalmology Physician
- Rock Hill, SC
National Provider Identifier
1609213669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 40959
- Practice address
- 1773 Ebenezer Rd
Rock Hill, SC 29732-1101 - Phone
- (803) 328-0168
- Fax
- (803) 325-8473
- NPI assigned
- May 31, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | LP02915 | RI | |
| Ophthalmology Physician | 207W00000X | 40959 | SC | Primary |
| Ophthalmology Physician | 207W00000X | 2017-00053 | NC | |
| Internal Medicine Physician | 207R00000X | LP02915 | RI |
Addresses
Primary practice location
1773 Ebenezer Rd
Rock Hill, SC 29732-1101
Mailing address
1773 Ebenezer Rd
Rock Hill, SC 29732-1101
Phone (033) 280-1688
Other names 1
- Jennifer Elaine Threatt
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Brody School of Medicine at East Carolina University, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1773 Ebenezer Rd
Rock Hill, SC 29732-1101
Phone (803) 328-0168
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.48 of 100
- Quality
- 91.19
- Improvement activities
- 40
- Cost
- 83.33
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 321 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP02915 | RI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rock Hill Eye Clinic, P.a. | Ophthalmology | Current | Accepting new patients |
Locations
1698 Highway 160 W
Ste 110
Fort Mill, SC 29708
Phone (803) 547-9510
1773 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 328-0168
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.
-
- Ophthalmology Physician
- Rock Hill, SC
- NPI 1003873308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1609213669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1773 EBENEZER RD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321101",
"telephone_number": "033-280-1688",
"fax_number": "803-325-8473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1773 EBENEZER RD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321101",
"telephone_number": "803-328-0168",
"fax_number": "803-325-8473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "JENNIFER",
"middle_name": "THREATT",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-31",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "RI",
"license": "LP02915",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "SC",
"license": "40959",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NC",
"license": "2017-00053",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "LP02915",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "THREATT",
"middle_name": "ELAINE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
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 Aug 7, 2025; 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.