Individual provider Active NPI

James Hartwell Hildebrand, OD

  • Optometrist
  • Rock Hill, SC
National Provider Identifier
1609549971
Registry record updated Jul 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2267 Issued in SC
Practice address
356 Oakland Ave
Rock Hill, SC 29730-4064
Phone
(803) 980-3937
Fax
(803) 980-5353
NPI assigned
Jul 31, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2267 SC Primary

Addresses

Primary practice location

356 Oakland Ave
Rock Hill, SC 29730-4064

Mailing address

2715 Tealwood Dr
Rock Hill, SC 29732-9432
Phone (803) 221-5165

Other practice location 1

247 Mt Gallant Rd E Ste 200
Rock Hill, SC 29730-8993
Phone (803) 902-4000

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
I20250317002774 SC Practitioner - Optometry 6800318064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster Eye Clinic P.a.Group PAC ID 4981799509, 6 clinicians

Practice addresses (Care Compare)

1240 Colonial Commons CT
Lancaster, SC 29720-2200
Phone (803) 285-4333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster Eye Clinic P.a. CurrentSince Apr 1, 2025 Accepting new patients
Brian Colletto OD, Inc Optometrist CurrentSince Aug 8, 2021 Accepting new patients

Locations

1240 Colonial Commons Ct
Lancaster, SC 29720
Phone (803) 285-3333

209 S Wylie St
Lancaster, SC 29720
Phone (803) 285-4333

356 Oakland Ave
Rock Hill, SC 29730
Phone (803) 890-3937

247 Mt Gallant Rd E
Ste 200
Rock Hill, SC 29730
Phone (803) 902-4000

Interoperability endpoints

  • Direct secure messaging: telcjh25@telc.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627689600000",
    "number": "1609549971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 TEALWOOD DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297329432",
            "telephone_number": "803-221-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 OAKLAND AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304064",
            "telephone_number": "803-980-3937",
            "fax_number": "803-980-5353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "247 Mt Gallant Rd E Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297308993",
            "country_code": "US",
            "telephone_number": "803-902-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILDEBRAND",
        "first_name": "JAMES",
        "middle_name": "HARTWELL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-31",
        "last_updated": "2021-07-31",
        "certification_date": "2021-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.