Individual provider Active NPI

Vickie L Jewell, OD

  • Optometrist
  • Lancaster, SC
National Provider Identifier
1861456899
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1043 Issued in SC
Practice address
689 Lancaster Byp E
Lancaster, SC 29720-4727
Phone
(803) 283-2020
Fax
(803) 286-0734
NPI assigned
Apr 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1043 SC Primary

Addresses

Primary practice location

689 Lancaster Byp E
Lancaster, SC 29720-4727

Mailing address

689 Lancaster Byp E
Lancaster, SC 29720-4727
Phone (803) 283-2020

Other identifiers 2

IdentifierTypeStateIssuer
D10432MedicaidSC
6530OtherSCRAILROAD MEDICARE

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
I20120920000042 SC Practitioner - Optometry 3476667932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

689 Lancaster Byp E
Lancaster, SC 29720-4727
Phone (803) 283-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jewell Vision Care Optometrist CurrentSince Jun 17, 1999 Accepting new patients
Jewell Vision Care, Inc. Optometrist CurrentSince Jun 18, 1999 Accepting new patients

Locations

689 Lancaster Byp E
Lancaster, SC 29720
Phone (803) 283-2020

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1861456899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 LANCASTER BYP E",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297204727",
            "telephone_number": "803-283-2020",
            "fax_number": "803-286-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 LANCASTER BYP E",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297204727",
            "telephone_number": "803-283-2020",
            "fax_number": "803-286-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEWELL",
        "first_name": "VICKIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D10432",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "6530",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

Verify at the official NPI Registry.