Individual provider Active NPI

Nicholas Robert Reid, O.D.

  • Optometrist
  • Greer, SC
National Provider Identifier
1720399157
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2141 Issued in SC
Practice address
812 W Wade Hampton Blvd
Greer, SC 29650-1309
Phone
(864) 877-1825
NPI assigned
Jun 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002488 IA
Optometrist 152W00000X 2228 NC
Optometrist 152W00000X 2141 SC Primary

Addresses

Primary practice location

812 W Wade Hampton Blvd
Greer, SC 29650-1309

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other practice location 1

313 Wb McLean Dr
Cape Carteret, NC 28584-8516
Phone (252) 393-3010

Other identifiers 1

IdentifierTypeStateIssuer
5918083MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111007000417 NC Practitioner - Optometry 3678769445 Reassigns benefits to 1 organization
I20220816002455 SC Practitioner - Optometry 3678769445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

812 W Wade Hampton Blvd
Greer, SC 29650-1309
Phone (864) 877-1825

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2228NCMDMarriage & Family Therapist
2141SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Jun 14, 2021 Accepting new patients
Myeyedr Optometry of South Carolina, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Jun 14, 2021 Accepting new patients
Myeyedr Optometry of South Carolina, LLC Optometrist CurrentSince Aug 20, 2022 Accepting new patients
Myeyedr Optometry of South Carolina, LLC Optometrist CurrentSince Aug 20, 2022 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of North Carolina Optometrist Past Accepting new patients

Locations

313 Wb McLean Dr
Cape Carteret, NC 28584
Phone (252) 393-3010

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

812 W Wade Hampton Blvd
Greer, SC 29650
Phone (864) 877-1825

306 E Main St
Pickens, SC 29671
Phone (864) 878-6060

1268 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 327-2001

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: nreid@direct.eyecare-partners.com

Organizations & group practices 7

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": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1720399157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 W WADE HAMPTON BLVD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501309",
            "telephone_number": "864-877-1825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 Wb McLean Dr",
            "address_purpose": "LOCATION",
            "city": "Cape Carteret",
            "state": "NC",
            "postal_code": "285848516",
            "country_code": "US",
            "telephone_number": "252-393-3010",
            "fax_number": "252-393-3459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REID",
        "first_name": "NICHOLAS",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-30",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002488",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2228",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5918083",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

Verify at the official NPI Registry.