Active NPI
Jeffrey Hood, OD
- Optometrist
- Mt Pleasant, SC
National Provider Identifier
1871621797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1161
- Practice address
- 1101 Clarity Rd
Suite 100
Mt Pleasant, SC 29464-3138 - Phone
- (843) 881-3937
- Fax
- (843) 375-1487
- NPI assigned
- Mar 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1161 | SC | Primary |
| Optometrist | 152W00000X | OPT001388 | GA |
Addresses
Primary practice location
1101 Clarity Rd
Suite 100
Mt Pleasant, SC 29464-3138
Mailing address
1101 Clarity Rd
Suite 100
Mt Pleasant, SC 29464-3138
Phone (843) 881-3937
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01236556 | Other | SC | RAILROAD MEDICARE |
| D11617 | Medicaid | SC | |
| 132784132D | Medicaid | GA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1388 | GA | MD | Marriage & Family Therapist |
| OPT001388 | GA | MD | Optometrist |
| 1161 | SC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Eyecare, LLC | Optometrist | Current | Accepting new patients |
Locations
8096 Rivers Ave
Ste A
North Charleston, SC 29406
Phone (843) 818-2020
Organizations & group practices 1
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.
-
- Optometrist
- Summerville, SC
- NPI 1750928164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467244800000",
"number": "1871621797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 CLARITY RD",
"address_2": "SUITE 100",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643138",
"telephone_number": "843-881-3937",
"fax_number": "843-375-1487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 CLARITY RD",
"address_2": "SUITE 100",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643138",
"telephone_number": "843-881-3937",
"fax_number": "843-375-1487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOD",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-01",
"last_updated": "2016-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1161",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT001388",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01236556",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D11617",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "132784132D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.