Adam Richard Dutson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1783 Issued in SC

Practice address

1090 Spratt St
Fort Mill, SC 29715-8226

Phone

(803) 547-5547

Fax

(803) 547-5724

NPI assigned

Oct 16, 2013

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

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fort Mill Optical IncGroup PAC ID 8628084696, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fort Mill Optical Inc

  • Optometrist
  • Fort Mill, SC
  • NPI 1548201908
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1942638697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 SPRATT ST",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297158226",
            "telephone_number": "803-547-5547",
            "fax_number": "803-547-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 SPRATT ST",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297158226",
            "telephone_number": "803-547-5547",
            "fax_number": "803-547-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTSON",
        "first_name": "ADAM",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-16",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Drescher, ATC
• DRS J Loveland and R Walker IV, LLC
• Samantha Duffie, MS
• John Patrick Duffy, DPT
• Natalie Dunn, CCC-SLP
• Hilary Ann Dwyer, LPC-A
• Gina Dyer-Goss, MSN-FN
• Dynamic Physical Therapy & Rehabilitation
• Jean Ellen Earhart, LCSW
• Logan B Ebersold, DMD

• Optometrist in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.