Individual provider Active NPI

Hannah Berkley Cornelia, OD

  • Optometrist
  • North Charleston, SC
National Provider Identifier
1699335182
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2128 Issued in SC
Practice address
8484 Dorchester Rd
North Charleston, SC 29420-7319
Phone
(843) 767-2328
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2128 SC Primary

Addresses

Primary practice location

8484 Dorchester Rd
North Charleston, SC 29420-7319

Mailing address

1800 Indigo Market Drive
312
Mount Pleasant, SC 29464
Phone (678) 602-5707

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
I20190826001064 SC Practitioner - Optometry 4880922012 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Family EyecareGroup PAC ID 4981664273, 3 clinicians

Practice addresses (Care Compare)

122 Ben Casey Dr
Suite 101
Fort Mill, SC 29708-6594
Phone (803) 396-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Eyecare Optometrist CurrentSince Nov 28, 2023 Accepting new patients
F Mason Smith Optometrist Past Accepting new patients

Locations

122 Ben Casey Dr
Ste 101
Fort Mill, SC 29708
Phone (803) 396-3937

Organizations & group practices 4

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": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1699335182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 INDIGO MARKET DRIVE",
            "address_2": "312",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "678-602-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8484 DORCHESTER RD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294207319",
            "telephone_number": "843-767-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELIA",
        "first_name": "HANNAH",
        "middle_name": "BERKLEY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.