Individual provider Active NPI

Jason L. Diamond, O.D.

  • Optometrist
  • Little River, SC
National Provider Identifier
1780683698
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1408 Issued in SC
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
D14081MedicaidSC

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
I20060804000054 SC Practitioner - Optometry 0345279212 Reassigns benefits to 1 organization

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
Eye Associates of Little River LLCGroup PAC ID 3779596101, 2 clinicians

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 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1408SCMDInternal Medicine Physician
1244NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Little River, LLC Optometrist CurrentSince Sep 1, 2006 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.

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

Sources for this page

Verify at the official NPI Registry.