Individual provider Active NPI

Henry Lavern Franklin, OD

  • Optometrist
  • Walterboro, SC
National Provider Identifier
1710051131
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
630 Issued in SC
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

Updated by the provider on Oct 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
218933MedicaidSC

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
I20110105001083 SC Practitioner - Optometry 5597954651 Reassigns benefits to 2 organizations
Practice locations: Walterboro, SC

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
Bergelt Optometric LLCGroup PAC ID 5092007666, 15 clinicians
Eyes Over Carolina PCGroup PAC ID 6002125838, 2 clinicians

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

LicenseStateTypeSpecialty
630SCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes Over Carolina PC Optometrist CurrentSince Dec 1, 2016 Accepting new patients
Bergelt Optometric LLC Optometrist CurrentSince Mar 2, 2023 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.

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

Verify at the official NPI Registry.