Individual provider Active NPI

Ryan Lawton

  • Optometrist
  • Greenville, SC
National Provider Identifier
1700453131
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2274 Issued in SC
Practice address
1212 Haywood Rd Ste 600
Greenville, SC 29615-4965
Phone
(864) 234-7700
NPI assigned
Jun 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2274 SC Primary

Addresses

Primary practice location

1212 Haywood Rd Ste 600
Greenville, SC 29615-4965

Mailing address

1212 Haywood Rd Ste 600
Greenville, SC 29615-4965

Other identifiers 1

IdentifierTypeStateIssuer
2274OtherSCSC DEPARTMENT OF LABOR, LICENSING AND REGULATION

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
I20210709000385 SC Practitioner - Optometry 8224430558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenville Eyecare Associates PAGroup PAC ID 1951420348, 4 clinicians

Practice addresses (Care Compare)

1212 Haywood Rd
Suite 600
Greenville, SC 29615-4965
Phone (864) 234-7700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2274SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Eyecare Associates PA Optometrist CurrentSince Jul 1, 2021 Accepting new patients

Locations

1212 Haywood Rd
Ste 600
Greenville, SC 29615
Phone (864) 234-7700

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": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1700453131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 HAYWOOD RD STE 600",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 HAYWOOD RD STE 600",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154965",
            "telephone_number": "864-234-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWTON",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC DEPARTMENT OF LABOR, LICENSING AND REGULATION",
            "identifier": "2274",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.