Individual provider Active NPI

Mark W Taylor, O.D.

  • Optometrist
  • Columbia, SC
National Provider Identifier
1811957962
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
735 Issued in SC
Practice address
7367 Two Notch Rd
Columbia, SC 29223-7619
Phone
(803) 788-1335
Fax
(803) 788-6954
NPI assigned
Mar 24, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 735 SC Primary

Addresses

Primary practice location

7367 Two Notch Rd
Columbia, SC 29223-7619

Mailing address

7367 Two Notch Rd
Columbia, SC 29223-7619
Phone (803) 788-1335

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
I20250311001112 SC Practitioner - Optometry 7416478102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg South Carolina Professional PCGroup PAC ID 5597129064, 16 clinicians

Practice addresses (Care Compare)

205 Columbia Ave
Lexington, SC 29072-2662
Phone (803) 957-8565

2313 N Beltline Blvd
Columbia, SC 29204-3416
Phone (803) 788-1335

275 Harbison Blvd
Columbia, SC 29212-2222
Phone (803) 781-2071

4225 Carolina Exchange Dr
Suite a
Myrtle Beach, SC 29579-4221
Phone (843) 903-6262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
735SCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg South Carolina Professional PC Optometrist CurrentSince Jan 2, 2025 Accepting new patients
Sansbury Eye Center Past Accepting new patients
Sansbury Vision Services LLC Optometrist Past Accepting new patients
Sansbury Eye Center Past Accepting new patients

Locations

111 E 4th St
Ste 440
Alton, IL 62002

205 Columbia Ave
Ste C
Lexington, SC 29072
Phone (803) 957-8565

4225 Carolina Exchange Dr
#A
Myrtle Beach, SC 29579
Phone (843) 903-6262

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, 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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1811957962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7367 TWO NOTCH RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237619",
            "telephone_number": "803-788-1335",
            "fax_number": "803-788-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7367 TWO NOTCH RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237619",
            "telephone_number": "803-788-1335",
            "fax_number": "803-788-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MARK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.