Individual provider Active NPI

Elizabeth Wright Fraser, O.D.

  • Optometrist
  • Mt Pleasant, SC
National Provider Identifier
1649433673
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1530 Issued in SC
Practice address
966 Houston Northcutt Blvd
Mt Pleasant, SC 29464-3487
Phone
(843) 881-2492
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1530 SC Primary

Addresses

Primary practice location

966 Houston Northcutt Blvd
Mt Pleasant, SC 29464-3487

Mailing address

966 Houston Northcutt Blvd
Mt Pleasant, SC 29464-3487
Phone (843) 881-2492

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
I20130701000486 SC Practitioner - Optometry 3577703214 Practice locations: Mount Pleasant, SC

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

495 Wando Park Blvd
Suite 101
Mount Pleasant, SC 29464-7952
Phone (843) 422-1625

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1530SCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Vision Care Optometrist Current Accepting new patients

Locations

495 Wando Park Blvd
#101
Mount Pleasant, SC 29464
Phone (843) 422-1625

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.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1649433673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 HOUSTON NORTHCUTT BLVD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643487",
            "telephone_number": "843-881-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 HOUSTON NORTHCUTT BLVD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643487",
            "telephone_number": "843-881-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER",
        "first_name": "ELIZABETH",
        "middle_name": "WRIGHT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

Verify at the official NPI Registry.