Individual provider Active NPI

David Martin Andrews, OD

  • Optometrist
  • Florence, SC
National Provider Identifier
1669465084
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
607 Issued in SC
Practice address
2138 W Palmetto St
Florence, SC 29501-4048
Phone
(843) 662-1989
Fax
(843) 667-8897
NPI assigned
Aug 31, 2005
Last updated
May 3, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 607 SC Primary

Addresses

Primary practice location

2138 W Palmetto St
Florence, SC 29501-4048

Mailing address

2138 W Palmetto St
Florence, SC 29501-4048
Phone (843) 662-1989

Other identifiers 5

IdentifierTypeStateIssuer
DA9978MedicaidSC
D07720MedicaidSC
DA9740MedicaidSC
DP2037OtherSCMEDICARE RAILROAD
469037002OtherSCDMERC

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
I20031119000232 SC Practitioner - Optometry 7719891118 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lee County Eye Associates, PCGroup PAC ID 7517871908, 2 clinicians

Practice addresses (Care Compare)

730 W Church St
Bishopville, SC 29010-1016
Phone (803) 484-5494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
607SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lee County Eye Associates, PC Optometrist CurrentSince Jul 1, 2002 Accepting new patients
Palmetto Vision Center Optometrist CurrentSince Apr 15, 1993 Accepting new patients
F Mason Smith Optometrist Past Accepting new patients
Pee Dee Eye Associates PA Optometrist Past Accepting new patients

Locations

730 W Church St
Bishopville, SC 29010
Phone (803) 484-5494

2138 W Palmetto St
Florence, SC 29501
Phone (843) 662-1989

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1669465084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014048",
            "telephone_number": "843-662-1989",
            "fax_number": "843-667-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014048",
            "telephone_number": "843-662-1989",
            "fax_number": "843-667-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "DAVID",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9978",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D07720",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9740",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DP2037",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "469037002",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.