Individual provider Active NPI

Taylor Coryn Eldred, OD

  • Optometrist
  • Fort Mill, SC
National Provider Identifier
1871271023
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6417 Issued in FL
Practice address
122 Ben Casey Dr
Fort Mill, SC 29708-6593
Phone
(803) 396-3937
Fax
(803) 396-3945
NPI assigned
Jul 7, 2023
Last updated
Jun 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6417 FL Primary
Optometrist 152W00000X T009834 NY

Addresses

Primary practice location

122 Ben Casey Dr
Fort Mill, SC 29708-6593

Mailing address

122 Ben Casey Dr
Fort Mill, SC 29708-6593
Phone (315) 391-2430

Other practice location 1

1307 Ebenezer Rd
Rock Hill, SC 29732-2336
Phone (803) 324-3979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240226001746 FL Practitioner - Optometry 4880039213 Reassigns benefits to 1 organization
I20240912000639 SC Practitioner - Optometry 4880039213 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Family EyecareGroup PAC ID 4981664273, 3 clinicians
Carolina Family Eyecare Rock Hill LLCGroup PAC ID 3779959937, 2 clinicians

Practice addresses (Care Compare)

122 Ben Casey Dr
Suite 101
Fort Mill, SC 29708-6594
Phone (803) 396-3937

1307 Ebenezer Rd
Rock Hill, SC 29732-2336
Phone (803) 324-3979

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6417FLMDOptometrist
T009834NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Cortes OD PA Optometrist CurrentSince Feb 20, 2024 Accepting new patients
Howell Cohen O D P a Optometrist CurrentSince Feb 20, 2024 Accepting new patients
Carolina Family Eyecare Optometrist CurrentSince Sep 19, 2024 Accepting new patients
Carolina Family Eyecare Rock Hill LLC Optometrist CurrentSince Sep 19, 2024 Accepting new patients

Locations

706 W Boynton Beach Blvd
Ste 101
Boynton Beach, FL 33426
Phone (561) 732-5665

122 Ben Casey Dr
Ste 101
Fort Mill, SC 29708
Phone (803) 396-3937

1307 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 324-3979

Organizations & group practices 4

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": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1871271023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BEN CASEY DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086593",
            "telephone_number": "315-391-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 BEN CASEY DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086593",
            "telephone_number": "803-396-3937",
            "fax_number": "803-396-3945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1307 Ebenezer Rd",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297322336",
            "country_code": "US",
            "telephone_number": "803-324-3979",
            "fax_number": "803-324-3245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELDRED",
        "first_name": "TAYLOR",
        "middle_name": "CORYN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6417",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T009834",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

Verify at the official NPI Registry.