Individual provider Active NPI

Bonita Cherice Miles Mack, O.D.

  • Optometrist
  • Rock Hill, SC
National Provider Identifier
1821218835
Registry record updated May 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1744 Issued in SC
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210122000507 SC Practitioner - Optometry 2567876196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metrolina Eye Associates PLLCGroup PAC ID 7315908498, 13 clinicians

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 100Reported as group
Quality
100
Improvement activities
40
Cost
83.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD1269MDMDOptometrist
1744SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Metrolina Eye Associates, PLLC CurrentSince Nov 1, 2021 Accepting new patients
Metrolina Eye Associates, PLLC CurrentSince Nov 1, 2021 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

  • Direct secure messaging: bmiles@metrolina.intellechartdirect.net
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.