Individual provider Active NPI

Corey Ray Ommen, OD

  • Optometrist
  • Greer, SC
National Provider Identifier
1891286761
Registry record updated Oct 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2058 Issued in SC
Practice address
1014 W Poinsett St
Greer, SC 29650-1315
Phone
(864) 877-4011
NPI assigned
May 25, 2018
Last updated
Oct 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 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 2886 NC
Optometrist 152W00000X 2058 SC Primary

Addresses

Primary practice location

1014 W Poinsett St
Greer, SC 29650-1315

Mailing address

1014 W Poinsett St
Greer, SC 29650-1315
Phone (864) 877-4011

Other practice location 1

2600 E 7th St Unit 104
Charlotte, NC 28204-4395
Phone (704) 523-1420

Other practice location 2

219 Merrimon Ave Ste A
Asheville, NC 28801-1225
Phone (828) 254-3230

Other practice location 3

1060 Lenoir Rhyne Blvd SE
Hickory, NC 28602-4330
Phone (828) 328-3900

Other practice location 4

2827 Woodruff Rd
Simpsonville, SC 29681-4807
Phone (864) 520-2480

Other practice location 5

479 Bypass 72 NW Ste 107
Greenwood, SC 29649-1484
Phone (864) 388-2020

Other practice location 6

2555 Court Dr Ste 150
Gastonia, NC 28054-2187
Phone (704) 864-7789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 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
I20180815003558 SC Practitioner - Optometry 4981953551 Reassigns benefits to 2 organizations
I20251016004090 NC Practitioner - Optometry 4981953551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clark Optometric Center of SC P.a.Group PAC ID 0446596274, 6 clinicians
Clark Optometric Center PAGroup PAC ID 6709911092, 45 clinicians

Practice addresses (Care Compare)

1014 W Poinsett St
Greer, SC 29650-1315
Phone (864) 877-4011

1060 Lenoir Rhyne Blvd SE
Hickory, NC 28602-4330
Phone (828) 328-3900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2886NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Optometric Center of SC, P.a. Optometrist CurrentSince Jan 1, 2021 Accepting new patients
Clark Optometric Center PA Optometrist CurrentSince Sep 4, 2025 Accepting new patients
Tammy H. Hawks O.D. Optometrist Past Accepting new patients

Locations

219 Merrimon Ave
Asheville, NC 28801
Phone (828) 254-3230

219 Merrimon Ave
Ste A
Asheville, NC 28801
Phone (828) 254-3230

2600 E 7th St
Charlotte, NC 28204

2600 E 7th St
Unit 104
Charlotte, NC 28204
Phone (704) 523-1420

2216 E NC Highway 54
Durham, NC 27713
Phone (919) 544-2020

2555 Court Dr
Gastonia, NC 28054
Phone (704) 834-4390

2555 Court Dr
Ste 150
Gastonia, NC 28054
Phone (704) 864-7789

1060 Lenoir Rhyne Blvd SE
Hickory, NC 28602
Phone (828) 328-3900

1829 Doctors Dr
Sanford, NC 27330
Phone (919) 776-2032

479 Bypass 72 NW
Ste 107
Greenwood, SC 29649
Phone (864) 388-2020

1014 W Poinsett St
Greer, SC 29650
Phone (864) 877-4011

2827 Woodruff Rd
Simpsonville, SC 29681
Phone (864) 520-2480

419 SE Main St
Ste 300
Simpsonville, SC 29681
Phone (864) 417-2345

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": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760227200000",
    "number": "1891286761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 W POINSETT ST",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501315",
            "telephone_number": "864-877-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 W POINSETT ST",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501315",
            "telephone_number": "864-877-4011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 E 7th St Unit 104",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282044395",
            "country_code": "US",
            "telephone_number": "704-523-1420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "219 Merrimon Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288011225",
            "country_code": "US",
            "telephone_number": "828-254-3230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1060 Lenoir Rhyne Blvd SE",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286024330",
            "country_code": "US",
            "telephone_number": "828-328-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2827 Woodruff Rd",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296814807",
            "country_code": "US",
            "telephone_number": "864-520-2480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "479 Bypass 72 NW Ste 107",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296491484",
            "country_code": "US",
            "telephone_number": "864-388-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2555 Court Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280542187",
            "country_code": "US",
            "telephone_number": "704-864-7789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMMEN",
        "first_name": "COREY",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-25",
        "last_updated": "2025-10-12",
        "certification_date": "2025-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2886",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

Verify at the official NPI Registry.