Active NPI
Eyes Over Carolina PC
- Optometrist
- Hartsville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1696
- Legal business name
- EYES OVER CAROLINA PC
- Practice address
- 1150 S 4TH St
Hartsville, SC 29550-0705 - Phone
- (843) 857-1999
- Fax
- (803) 227-8996
- NPI assigned
- May 15, 2014
- Last updated
- Mar 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edwin Kyle Mitchell, OD
- Title
- Owner
- Phone
- (336) 707-6542
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1696 | SC | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 1696 | SC | |
| Pediatric Optometrist | 152WP0200X | 1696 | SC |
Addresses
Primary practice location
1150 S 4TH St
Hartsville, SC 29550-0705
Mailing address
356 Woodlander Dr
Blythewood, SC 29016-7621
Phone (803) 776-5363
Other practice location 1
7520 Garners Ferry Rd
Columbia, SC 29209-2628
Phone (803) 776-5363
Other practice location 2
1283 Broad St
Sumter, SC 29150-1973
Phone (803) 905-0520
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA9529 | Medicaid | SC | |
| DA9570 | Medicaid | SC | |
| DA9574 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1150 S 4th St
Hartsville, SC 29550
Phone (843) 332-8111
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Hartsville, SC
- NPI 1700132719
-
- Optometrist
- Walterboro, SC
- NPI 1710051131
-
- Optometrist
- Lancaster, SC
- NPI 1134166713
-
- Optometrist
- Florence, SC
- NPI 1487061925
-
- Optometrist
- Lancaster, SC
- NPI 1275535825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774224000000",
"number": "1861803520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "356 WOODLANDER DR",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290167621",
"telephone_number": "803-776-5363",
"fax_number": "803-227-8996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 S 4TH ST",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295500705",
"telephone_number": "843-857-1999",
"fax_number": "803-227-8996"
}
],
"practiceLocations": [
{
"address_1": "7520 Garners Ferry Rd",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292092628",
"country_code": "US",
"telephone_number": "803-776-5363",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1283 Broad St",
"address_purpose": "LOCATION",
"city": "Sumter",
"state": "SC",
"postal_code": "291501973",
"country_code": "US",
"telephone_number": "803-905-0520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EYES OVER CAROLINA PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-15",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "EDWIN",
"authorized_official_middle_name": "KYLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "336-707-6542",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1696",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "SC",
"license": "1696",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "SC",
"license": "1696",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DA9529",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DA9570",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DA9574",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.