Benjamin Jacob Ondersma, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1609 Issued in SC

Practice address

127 Barton Creek CT
Columbia, SC 29229-8027

Phone

(803) 754-8370

Fax

(803) 754-8371

NPI assigned

Jun 9, 2010

Last updated

Aug 6, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Benjamin Ondersma OD LLC

  dba Camden Eye Care Center

  • Health Maintenance Organization
  • Columbia, SC
  • NPI 1982009932
  Medicare reassignment NPD Authorized official
• Coastal Grand Eye Associates LTD. Co.

  • Optometrist
  • Myrtle Beach, SC
  • NPI 1780728824
  NPD (past)
• Eye Associates of Cayce - West Columbia

  dba Eye Associates of Lexington

  • Optometrist
  • Cayce West Columbia, SC
  • NPI 1952490237
  NPD (past)
• Eye Concepts, LLC

  • Eyewear Supplier
  • Columbia, SC
  • NPI 1174773535
  NPD (past)

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1649590936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 BARTON CREEK CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298027",
            "telephone_number": "803-754-8370",
            "fax_number": "803-754-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 BARTON CREEK CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298027",
            "telephone_number": "803-754-8370",
            "fax_number": "803-754-8371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 E Dekalb St Ste C",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "SC",
            "postal_code": "290204429",
            "country_code": "US",
            "telephone_number": "803-424-1142",
            "fax_number": "803-713-0836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONDERSMA",
        "first_name": "BENJAMIN",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-09",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Columbia, SC
• Providers in Columbia, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.