Active NPI
Jason L. Diamond, O.D.
- Optometrist
- Little River, SC
National Provider Identifier
1780683698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1408
- Practice address
- 3700 Sawtell Rd
Suite B
Little River, SC 29566-7873 - Phone
- (843) 390-0058
- Fax
- (843) 390-9990
- NPI assigned
- Jul 21, 2005
- Last updated
- Mar 1, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1244 | NE | |
| Optometrist | 152W00000X | 1408 | SC | Primary |
| Optometrist | 152W00000X | 2086 | NC |
Addresses
Primary practice location
3700 Sawtell Rd
Suite B
Little River, SC 29566-7873
Mailing address
3700 Sawtell Rd B
Little River, SC 29566-7873
Phone (843) 390-0058
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D14081 | 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, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3700 Sawtell Rd
Suite B
Little River, SC 29566-7873
Phone (843) 390-0058
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1408 | SC | MD | Internal Medicine Physician |
| 1244 | NE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Associates of Little River, LLC | Optometrist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Little River, SC
- NPI 1568404044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519862400000",
"number": "1780683698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 SAWTELL RD B",
"city": "LITTLE RIVER",
"state": "SC",
"postal_code": "295667873",
"telephone_number": "843-390-0058",
"fax_number": "843-390-0999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 SAWTELL RD",
"address_2": "SUITE B",
"city": "LITTLE RIVER",
"state": "SC",
"postal_code": "295667873",
"telephone_number": "843-390-0058",
"fax_number": "843-390-9990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAMOND",
"first_name": "JASON",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2018-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "1244",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1408",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "2086",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D14081",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little River, SC
- Clyde J Dellinger, MD
- Brandi Leigh Denny, CRNA
- Dental Professionals of South Carolina, P.C. (Dental Care at Little River)
- Dental Professionals of South Carolina, P.C. (Coastal Cosmetic Dental)
- Kristen Michelle Deupree, PA-C
- Malinda Jean Dice-Shah, D.D.S., M.P.H.
- Sheila Dickens-Mosley
- Rachael Dinant
- Kevin Michael Dineen, MD
- Rosanne Joyce Dixon, P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.