Individual provider Active NPI

Michael Mequio, M.D.

  • Ophthalmology Physician
  • Easley, SC
National Provider Identifier
1730328410
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
88629 Issued in SC
Practice address
220 S Pendleton St
Easley, SC 29640-3048
Phone
(864) 859-3233
Fax
(864) 850-4001
NPI assigned
Feb 19, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X E18794 AR
Ophthalmology Physician 207W00000X 5315031987 MI
Ophthalmology Physician 207W00000X 88629 SC Primary

Addresses

Primary practice location

220 S Pendleton St
Easley, SC 29640-3048

Mailing address

601 Halton Rd
Greenville, SC 29607-3403
Phone (864) 458-7956

Other practice location 1

601 Halton Rd
Greenville, SC 29607-3403
Phone (864) 458-7956

Other practice location 2

2783 N Shiloh Dr
Fayetteville, AR 72704-6983
Phone (479) 442-8653

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230525001978 SC Practitioner - Ophthalmology 2062676927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Strand Retina PCGroup PAC ID 3173916087, 2 clinicians

Practice addresses (Care Compare)

4310 Hwy 17
Unit 201
Murrells Inlet, SC 29576-5139
Phone (843) 651-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E18794ARMDOphthalmology Physician
5315031987MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Strand Retina PC Ophthalmology CurrentSince Jul 12, 2025 Accepting new patients
Jervey Eye Group, PA Ophthalmology Current Accepting new patients
Jervey Eye Group, PA Ophthalmology CurrentSince Apr 15, 2023 Accepting new patients
Mark S Cichowski, MD Past Accepting new patients

Locations

220 S Pendleton St
Easley, SC 29640
Phone (864) 250-6484

601 Halton Rd
Greenville, SC 29607
Phone (864) 458-7956

4310 Highway 17
Unit 201
Murrells Inlet, SC 29576
Phone (843) 651-3937

4310 Highway 17
Murrells Inlet, SC 29576
Phone (843) 293-7713

1021 Cipriana Dr
Ste 220
Myrtle Beach, SC 29572
Phone (843) 449-6449

14361 Ocean Hwy
Unit 2B
Pawleys Island, SC 29585
Phone (518) 420-7106

Interoperability endpoints

  • Direct secure messaging: mmequio@triadeye.intellechartdirect.net

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": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1730328410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 HALTON RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073403",
            "telephone_number": "864-458-7956",
            "fax_number": "864-458-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S PENDLETON ST",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403048",
            "telephone_number": "864-859-3233",
            "fax_number": "864-850-4001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Halton Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296073403",
            "country_code": "US",
            "telephone_number": "864-458-7956",
            "fax_number": "864-458-8390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2783 N Shiloh Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727046983",
            "country_code": "US",
            "telephone_number": "479-442-8653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEQUIO",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-19",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "E18794",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "5315031987",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "88629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

Verify at the official NPI Registry.