Individual provider Active NPI

Katherine Savas Mason, O.D.

  • Optometrist
  • Columbia, SC
National Provider Identifier
1619946027
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1185 Issued in SC
Practice address
141 Wildewood Park Dr
Columbia, SC 29223-4300
Phone
(803) 865-5520
Fax
(803) 865-5496
NPI assigned
Mar 16, 2006
Last updated
Oct 5, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1185 SC Primary

Addresses

Primary practice location

141 Wildewood Park Dr
Columbia, SC 29223-4300

Mailing address

141 Wildewood Park Dr
Columbia, SC 29223-4300
Phone (803) 865-5520

Other identifiers 1

IdentifierTypeStateIssuer
D11850MedicaidSC

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
I20071231000221 SC Practitioner - Optometry 7214017458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mason Family Vision PCGroup PAC ID 5890885412, 2 clinicians

Practice addresses (Care Compare)

141 Wildewood Park Dr
Columbia, SC 29223-4300
Phone (803) 865-5520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1185SCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Caryn M West & Assoc PC Optometrist PastSince Jan 2, 1998 Accepting new patients
Aeg South Carolina Professional PC Optometrist PastSince Jul 1, 2023 Accepting new patients
Eye Associates of Cayce - West Columbia PA Optometrist PastSince Mar 10, 2024 Accepting new patients
Eye Associates of Cayce - West Columbia Optometrist Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1619946027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 WILDEWOOD PARK DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234300",
            "telephone_number": "803-865-5520",
            "fax_number": "803-865-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 WILDEWOOD PARK DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234300",
            "telephone_number": "803-865-5520",
            "fax_number": "803-865-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "KATHERINE",
        "middle_name": "SAVAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D11850",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.