Jacob David Macdonald, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1989 Issued in SC

Practice address

7800 Rivers Ave
North Charleston, SC 29406-4057

Phone

(843) 572-3404

NPI assigned

Jun 1, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern California College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clark Optometric Center PAGroup PAC ID 6709911092, 45 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dmacdonald@macmillanopticalinc.emadirect.md
• Direct secure messaging: david.macdonald@uprisedirect.com

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.

• Clark Optometric Center PA

  • Optometrist
  • Durham, NC
  • NPI 1588619217
  Medicare reassignment Care Compare group NPD
• Donaldson Eye Care, LLC

  • Optometrist
  • Laurens, SC
  • NPI 1407392368
  Medicare reassignment NPD
• Macmillan Optical, Inc

  • Preferred Provider Organization
  • Clinton, SC
  • NPI 1588615488
  Medicare reassignment NPD
• Spartanburg Vision LLC

  • Optometrist
  • Spartanburg, SC
  • NPI 1760714794
  Medicare reassignment
• America'S Best Contacts & Eyeglasses

  • Eyewear Supplier
  • North Charleston, SC
  • NPI 1952333791
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496275200000",
    "number": "1912435132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 RANGER DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294057391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 RIVERS AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064057",
            "telephone_number": "843-572-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "JACOB",
        "middle_name": "DAVID",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-01",
        "last_updated": "2017-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Lyne, DPT
• Kennedy Lyon
• Michael J Lyons, MD
• Stephanie Sue Lyons, DC
• M2M Transport LLC
• Rachael Macdonald, M.S. CCC-SLP
• Gaston G Machado, MD
• Debra Anne Mack, PA-C
• Shywanna Mack, RN
• Sarah Wynne Mackay, DPT

• Optometrist in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.