NPIMap

Individual provider Active NPI

Alfred Jess Tomlinson, M.D.

  • Ophthalmology Physician
  • Surfside Beach, SC
National Provider Identifier
1649229535
Registry record updated Dec 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
12923 Issued in SC
Practice address
1120 Glenns Bay Rd
Suite 106
Surfside Beach, SC 29575-4757
Phone
(843) 650-1111
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 12923 SC Primary

Addresses

Primary practice location

1120 Glenns Bay Rd
Suite 106
Surfside Beach, SC 29575-4757

Mailing address

1120 Glenns Bay Rd
Suite 106
Surfside Beach, SC 29575-4757
Phone (843) 650-1111

Other identifiers 1

IdentifierTypeStateIssuer
TL504 5MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111220000579 SC Practitioner - Ophthalmology 5890961924 Practice locations: Myrtle Beach, SC; Surfside Beach, SC; Conway, SC

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York Downstate Medical Center, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1120 Glenns Bay Rd
Suite 106
Surfside Beach, SC 29575-4757
Phone (843) 650-1111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12923SCMDPharmacist

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196467200000",
    "number": "1649229535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 GLENNS BAY RD",
            "address_2": "SUITE 106",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295754757",
            "telephone_number": "843-650-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 GLENNS BAY RD",
            "address_2": "SUITE 106",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295754757",
            "telephone_number": "843-650-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMLINSON",
        "first_name": "ALFRED",
        "middle_name": "JESS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2007-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "12923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TL504 5",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surfside Beach, SC

Sources for this page

Verify at the official NPI Registry.