Active NPI
Edesthele Decius, OD
- Optometrist
- Aiken, SC
National Provider Identifier
1609771625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 152W00000X
- Practice address
- 1055 Silver Bluff Rd Ste a
Aiken, SC 29803-5884 - Phone
- (561) 667-9453
- NPI assigned
- Oct 9, 2026
- Last updated
- Oct 9, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 152W00000X | SC | Primary |
Addresses
Primary practice location
1055 Silver Bluff Rd Ste a
Aiken, SC 29803-5884
Mailing address
5516 NW Scepter Dr
Port Saint Lucie, FL 34983-3317
Phone (561) 667-9453
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 152W00000X | SC | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791504000000",
"number": "1609771625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5516 NW SCEPTER DR",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349833317",
"telephone_number": "561-667-9453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 SILVER BLUFF RD STE A",
"city": "AIKEN",
"state": "SC",
"postal_code": "298035884",
"telephone_number": "561-667-9453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECIUS",
"first_name": "EDESTHELE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-09",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "152W00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.