Individual provider Active NPI

Alexander Somerville Ward, O.D.

  • Optometrist
  • Anderson, SC
National Provider Identifier
1740582931
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1617 Issued in SC
Practice address
100 Country Club LN
Anderson, SC 29625-1717
Phone
(864) 224-5783
NPI assigned
Nov 22, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1617 SC Primary
Optometrist 152W00000X 2480 GA

Addresses

Primary practice location

100 Country Club LN
Anderson, SC 29625-1717

Mailing address

100 Country Club LN
Anderson, SC 29625-1717
Phone (864) 224-5783

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
I20130301000498 SC Practitioner - Optometry 2365697042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Eye Care and Associates, PAGroup PAC ID 2466765052, 2 clinicians

Practice addresses (Care Compare)

100 Country Club LN
Anderson, SC 29625-1717
Phone (864) 224-5783

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2480GAMDOptometrist
1617SCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Family Vision of Anderson PA Optometrist CurrentSince Jul 11, 2017 Accepting new patients
Carolina Eye Care and Associates, PA Optometrist CurrentSince Jul 1, 2015 Accepting new patients
Eye Associates, PA Optometrist CurrentSince Jul 1, 2015 Accepting new patients
Family Vision PC Optometrist CurrentSince Jan 29, 2013 Accepting new patients

Locations

2808 E North Ave
Anderson, SC 29625
Phone (864) 226-6041

100 Country Club Ln
Anderson, SC 29625
Phone (864) 224-5783

518 College Ave
Ste 200
Clemson, SC 29631
Phone (864) 226-6041

900A Greenville Dr
Williamston, SC 29697
Phone (864) 847-7657

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": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1740582931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COUNTRY CLUB LN",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296251717",
            "telephone_number": "864-224-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COUNTRY CLUB LN",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296251717",
            "telephone_number": "864-224-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "ALEXANDER",
        "middle_name": "SOMERVILLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-22",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1617",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "2480",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.