Jean M. Champion-Martin, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1117 Issued in SC

Practice address

332 Long Pointe LN
Columbia, SC 29229-7569

Phone

(803) 419-8907

Fax

(803) 419-8908

NPI assigned

Nov 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• F Mason Smith

  • Optometrist
  • Mt Pleasant, SC
  • NPI 1477795722
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821163171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 LONG POINTE LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297569",
            "telephone_number": "803-419-8907",
            "fax_number": "803-419-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 LONG POINTE LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297569",
            "telephone_number": "803-419-8907",
            "fax_number": "803-419-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPION-MARTIN",
        "first_name": "JEAN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D11173",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Chamberlain, PHARMD
• Candace L Chamberlain, MSW, LCSWA
• Gregory Alan Chambers, PA-C
• Champion Angel'S Homecare
• Champion Community Care, LLC
• Kayce Nicole Champion
• Faith Chandler, RBT
• Rachel Chandler
• Theresa P Chandler, FNP
• Tiana Latrell Chandler

• Optometrist in Columbia, SC
• Providers in Columbia, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.