Active NPI
Henry Lavern Franklin, OD
- Optometrist
- Walterboro, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 630
- Practice address
- 1112 Hampton Street
Ste D
Walterboro, SC 29488-4168 - Phone
- (843) 579-6636
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 630 | SC | Primary |
Addresses
Primary practice location
1112 Hampton Street
Ste D
Walterboro, SC 29488-4168
Mailing address
PO Box 231
Walterboro, SC 29488-0003
Phone (843) 549-6636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 218933 | Medicaid | SC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1112 Hampton St D
Walterboro, SC 29488-4167
Phone (843) 549-6636
1283 Broad St
Sumter, SC 29150-1973
Phone (803) 905-0520
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 630 | SC | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyes Over Carolina PC | Optometrist | Current | Accepting new patients |
| Bergelt Optometric LLC | Optometrist | Current | Accepting new patients |
Locations
7520 Garners Ferry Rd
Columbia, SC 29209
Phone (803) 776-5363
2672 David H McLeod Blvd
Florence, SC 29501
Phone (843) 773-2758
2795 North Rd
Orangeburg, SC 29118
Phone (803) 531-2746
1283 Broad St
Sumter, SC 29150
Phone (803) 905-5525
Organizations & group practices 2
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.
-
- Optometrist
- Florence, SC
- NPI 1386002467
-
- Optometrist
- Hartsville, SC
- NPI 1861803520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224115200000",
"number": "1710051131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 231",
"city": "WALTERBORO",
"state": "SC",
"postal_code": "294880003",
"telephone_number": "843-549-6636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 HAMPTON STREET",
"address_2": "STE D",
"city": "WALTERBORO",
"state": "SC",
"postal_code": "294884168",
"telephone_number": "843-579-6636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANKLIN",
"first_name": "HENRY",
"middle_name": "LAVERN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2008-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "630",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "218933",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Walterboro, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.