Active NPI
Bonita Cherice Miles Mack, O.D.
- Optometrist
- Rock Hill, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1744
- Practice address
- 410 Herlong Ave S Ste 103
Rock Hill, SC 29732-8350 - Phone
- (803) 985-3937
- Fax
- (803) 985-3922
- NPI assigned
- May 1, 2007
- Last updated
- May 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | MD1269 | MD | |
| Optometrist | 152W00000X | 1744 | SC | Primary |
Addresses
Primary practice location
410 Herlong Ave S Ste 103
Rock Hill, SC 29732-8350
Mailing address
410 Herlong Ave S Ste 103
Rock Hill, SC 29732-8350
Phone (803) 985-3937
Other practice location 1
2377 Dave Lyle Blvd
National Vision Center
Rock hill, SC 29730
Phone (803) 366-9406
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Direct@CarolinaEyeCareCenterRockHillSC.CompulinkDirect.com | Health Information Exchange (HIE) |
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
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6237 Carolina Commons Dr
Suite 300
Indian Land, SC 29707-6015
Phone (803) 547-3937
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.15 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 83.84
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD1269 | MD | MD | Optometrist |
| 1744 | SC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metrolina Eye Associates, PLLC | Current | Accepting new patients | |
| Metrolina Eye Associates, PLLC | Current | Accepting new patients |
Locations
4101 Campus Ridge Rd
Matthews, NC 28105
Phone (704) 234-1930
630 Comfort Ln
Ste E
Monroe, NC 28112
Phone (704) 289-5455
6237 Carolina Commons Dr
Indian Land, SC 29707
Phone (704) 321-3376
6237 Carolina Commons Dr
Ste 300
Indian Land, SC 29707
Phone (803) 547-3937
724 Arden Ln
Ste 120
Rock Hill, SC 29732
Phone (803) 324-3070
Interoperability endpoints
- bmiles@metrolina.intellechartdirect.net
- direct@carolinaeyecarecenterrockhillsc.compulinkdirect.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Indian Land, SC
- NPI 1063896777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621036800000",
"number": "1821218835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 HERLONG AVE S STE 103",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297328350",
"telephone_number": "803-985-3937",
"fax_number": "803-985-3922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 HERLONG AVE S STE 103",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297328350",
"telephone_number": "803-985-3937",
"fax_number": "803-985-3922"
}
],
"practiceLocations": [
{
"address_1": "2377 Dave Lyle Blvd",
"address_2": "National Vision Center",
"address_purpose": "LOCATION",
"city": "Rock hill",
"state": "SC",
"postal_code": "29730",
"country_code": "US",
"telephone_number": "803-366-9406",
"fax_number": "803-366-0251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILES MACK",
"first_name": "BONITA",
"middle_name": "CHERICE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2021-05-15",
"certification_date": "2021-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "MD1269",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1744",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Direct@CarolinaEyeCareCenterRockHillSC.CompulinkDirect.com",
"affiliation": "N",
"endpointDescription": "DIRECT EMAIL",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "410 Herlong Ave S Ste 103",
"city": "Rock Hill",
"state": "SC",
"country_code": "US",
"postal_code": "297328350",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2021; 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.