Individual provider Active NPI

Daniel Greathouse, O.D.

  • Optometrist
  • Columbia, SC
National Provider Identifier
1841640489
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1943 Issued in SC
Practice address
4500 Stuart St
3Rd Floor Clinic Wing
Columbia, SC 29207-5700
Phone
(803) 751-5406
NPI assigned
Jun 14, 2016
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1943 SC Primary

Addresses

Primary practice location

4500 Stuart St
3Rd Floor Clinic Wing
Columbia, SC 29207-5700

Mailing address

4500 Stuart St
3Rd Floor Clinic Wing
Columbia, SC 29207-5700
Phone (803) 751-5406

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
I20240220003705 SC Practitioner - Optometry 5395189187 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of Columbia IncGroup PAC ID 1153652532, 3 clinicians
Eye Associates of Charleston IncGroup PAC ID 2466781547, 3 clinicians

Practice addresses (Care Compare)

100 Columbiana Cir
Suite 1154
Columbia, SC 29212-2266
Phone (803) 784-2010

470 Town Ctr PL
Suite 5
Columbia, SC 29229-7957
Phone (803) 784-2010

975 Savannah Hwy
Suite 10
Charleston, SC 29407-7859
Phone (843) 627-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1943SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Charleston Inc Optometrist CurrentSince Jan 7, 2024 Accepting new patients
Eye Associates of Columbia Inc CurrentSince Jan 7, 2024 Accepting new patients

Locations

975 Savannah Hwy
#10
Charleston, SC 29407
Phone (843) 627-2020

100 Columbiana Cir
Ste 1154
Columbia, SC 29212
Phone (803) 781-1669

470 Town Center Pl
Ste 5
Columbia, SC 29229
Phone (803) 865-3901

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": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1841640489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 STUART ST",
            "address_2": "3RD FLOOR CLINIC WING",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292075700",
            "telephone_number": "803-751-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 STUART ST",
            "address_2": "3RD FLOOR CLINIC WING",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292075700",
            "telephone_number": "803-751-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREATHOUSE",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-14",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.