Individual provider Active NPI

Cynthia W Yeager, OD

  • Optometrist
  • Greenville, SC
National Provider Identifier
1801923487
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1026 Issued in SC
Practice address
2304 W Parker Rd
Greenville, SC 29617-2123
Phone
(864) 246-0964
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1026 SC Primary

Addresses

Primary practice location

2304 W Parker Rd
Greenville, SC 29617-2123

Mailing address

3 Bellfort CT
Taylors, SC 29687-6320
Phone (864) 246-0964

Other names 1

  • Cynthia D Wike Former name

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
I20090928000563 SC Practitioner - Optometry 6901952225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27 S Pleasantburg Dr
Suite 120
Greenville, SC 29607-2575
Phone (864) 235-8778

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oneway Vision Associates PA Optometrist CurrentSince Mar 3, 2017 Accepting new patients
Blue Rose Eye Care PA Optometrist CurrentSince Jul 15, 1993 Accepting new patients

Locations

2304 W Parker Rd
Greenville, SC 29617
Phone (864) 246-0964

27 S Pleasantburg Dr
Ste 120
Greenville, SC 29607
Phone (864) 235-8778

Organizations & group practices 2

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1801923487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BELLFORT CT",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296876320",
            "telephone_number": "864-246-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 W PARKER RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296172123",
            "telephone_number": "864-246-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEAGER",
        "first_name": "CYNTHIA",
        "middle_name": "W",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2012-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "WIKE",
            "middle_name": "D",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.