Individual provider Active NPI

David B Oliver, OD

  • Optometrist
  • Rock Hill, SC
National Provider Identifier
1679558399
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
981 Issued in SC
Practice address
406 N Wilson St
Rock Hill, SC 29730-4050
Phone
(803) 327-1181
Fax
(803) 327-9650
NPI assigned
Dec 15, 2005
Last updated
Mar 4, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 981 SC Primary

Addresses

Primary practice location

406 N Wilson St
Rock Hill, SC 29730-4050

Mailing address

PO Box 2935
Rock Hill, SC 29732-4935
Phone (803) 327-1181

Other identifiers 2

IdentifierTypeStateIssuer
D09818MedicaidSC
410029861OtherSCRAILROAD MEDICARE

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
I20080429000202 SC Practitioner - Optometry 4486669421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oliver Eye Associates PAGroup PAC ID 4981628773, 2 clinicians

Practice addresses (Care Compare)

406 N Wilson St
Rock Hill, SC 29730-4050
Phone (803) 327-1181

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
981SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
James-Olivereyecare,LLC Optometrist Past Accepting new patients
Oliver Eye Associates PA Optometrist PastSince Jul 1, 2007 Accepting new patients

Organizations & group practices 3

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1679558399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2935",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297324935",
            "telephone_number": "803-327-1181",
            "fax_number": "803-327-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N WILSON ST",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304050",
            "telephone_number": "803-327-1181",
            "fax_number": "803-327-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "DAVID",
        "middle_name": "B",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D09818",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410029861",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.