Individual provider Active NPI

Mary Hannah Wheeler, OD

  • Optometrist
  • Charleston, SC
National Provider Identifier
1851134258
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2490 Issued in SC
Practice address
12 Farmfield Ave Ste C
Charleston, SC 29407-7755
Phone
(843) 890-8037
NPI assigned
Jun 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 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 2490 SC Primary

Addresses

Primary practice location

12 Farmfield Ave Ste C
Charleston, SC 29407-7755

Mailing address

414 Clifton Grove St
Waycross, GA 31501-3413
Phone (912) 286-0888

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
I20240910002153 SC Practitioner - Optometry 0446790026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plantation Eyecare Dba/Tricounty Eye AssociatesGroup PAC ID 5496017956, 5 clinicians

Practice addresses (Care Compare)

119 Foxbank Plantation Blvd
Moncks Corner, SC 29461-6725
Phone (843) 761-6485

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2490SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Plantation Eyecare Optometrist CurrentSince Dec 1, 2025 Accepting new patients
Avondale Eye Care Optometrist CurrentSince Aug 1, 2025 Accepting new patients

Locations

12 Farmfield Ave
Ste C
Charleston, SC 29407
Phone (843) 763-2270

119 Foxbank Plantation Blvd
Ste A
Moncks Corner, SC 29461
Phone (843) 761-6485

113 Foxbank Plantation Blvd
Ste C
Moncks Corner, SC 29461
Phone (843) 761-6485

1718 State Rd
Ste 8D
Summerville, SC 29486
Phone (843) 900-4050

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1851134258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 CLIFTON GROVE ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315013413",
            "telephone_number": "912-286-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 FARMFIELD AVE STE C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077755",
            "telephone_number": "843-890-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "MARY",
        "middle_name": "HANNAH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-14",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.