Individual provider Active NPI

Francis Weston Shealy III, O.D.

  • Optometrist
  • Charleston, SC
National Provider Identifier
1891780508
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1365 Issued in SC
Practice address
1251 Savannah Hwy
Charleston, SC 29407-7826
Phone
(843) 763-2270
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1365 SC Primary

Addresses

Primary practice location

1251 Savannah Hwy
Charleston, SC 29407-7826

Mailing address

3010 Coopers Basin Cir
Charleston, SC 29414-8030
Phone (813) 431-6889

Other identifiers 1

IdentifierTypeStateIssuer
AA44710381OtherSCMEDICARE PTAN

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
I20091208000306 SC Practitioner - Optometry 0941349799 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avondale Eye Care 6 clinicians
Lowcountry Eye Care of Cane Bay LLC 7 clinicians

Practice addresses (Care Compare)

12 Farmfield Ave
Suite C
Charleston, SC 29407-7755
Phone (843) 763-2270

1718 State Rd
Suite 8D
Summerville, SC 29486-2803
Phone (843) 900-4050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1365SCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lowcountry Eye Care of Goose Creek Optometrist CurrentSince Jan 10, 2016 Accepting new patients
Avondale Eye Care Optometrist CurrentSince Jan 10, 2016 Accepting new patients
Lowcountry Eye Care of Cane Bay, LLC Optometrist CurrentSince Aug 1, 2017 Accepting new patients
Lowcountry Eye Care of Mt Pleasant, LLC Optometrist Current Accepting new patients
Eye Care Associates of SC LLC Optometrist Past Accepting new patients

Locations

1251 Savannah Hwy
Charleston, SC 29407
Phone (843) 556-7134

12 Farmfield Ave
Ste C
Charleston, SC 29407
Phone (843) 763-2270

425 Red Bank Rd
Goose Creek, SC 29445
Phone (843) 797-1264

102 Greenland Dr
Goose Creek, SC 29445
Phone (843) 203-6551

1718 State Rd
Ste 8D
Summerville, SC 29486
Phone (843) 900-4050

174 Beauregard Rd
Summerville, SC 29486
Phone (843) 821-0261

Organizations & group practices 5

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1891780508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 COOPERS BASIN CIR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294148030",
            "telephone_number": "813-431-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 SAVANNAH HWY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077826",
            "telephone_number": "843-763-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEALY",
        "first_name": "FRANCIS",
        "middle_name": "WESTON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AA44710381",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.