Active NPI
John L Brinkley, OD
- Optometrist
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 656
- Practice address
- 360 Harbison Blvd
Columbia, SC 29212-2248 - Phone
- (803) 732-8663
- NPI assigned
- Apr 17, 2006
- Last updated
- Mar 11, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 656 | SC | Primary |
| Vision Therapy Optometrist | 152WV0400X | 656 | SC | |
| Optician | 156FX1800X | 656 | SC |
Addresses
Primary practice location
360 Harbison Blvd
Columbia, SC 29212-2248
Mailing address
119 Latonea Dr
Columbia, SC 29210-7572
Phone (803) 798-8642
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 253936 | Medicaid | SC |
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 E Church St
Leesville, SC 29070-7595
Phone (803) 582-7999
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 47 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 656 | SC | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insyte LLC | Optometrist | Current | Accepting new patients |
| Vision Therapy Institute of SC | Optometrist | Current | Accepting new patients |
| Focus Eye Care Center, PC | Optometrist | Current | Accepting new patients |
| Focus Eye Care Center, PC | Optometrist | Current | Accepting new patients |
| Focus Eye Care Center, PC | Optometrist | Past | Accepting new patients |
Locations
10060 Two Notch Rd
Columbia, SC 29223
Phone (803) 419-6240
1513 Gregg St
Columbia, SC 29201
Phone (803) 254-4951
1620 Browning Rd
Columbia, SC 29210
Phone (803) 732-4099
360 Harbison Blvd
Columbia, SC 29212
Phone (803) 732-0617
612 Saint Andrews Rd
Ste 12
Columbia, SC 29210
Phone (803) 732-4099
7520 Garners Ferry Rd
Columbia, SC 29209
Phone (803) 776-5363
115 E Church St
Leesville, SC 29070
Phone (803) 532-5226
2795 North Rd
Orangeburg, SC 29118
Phone (803) 531-2746
3618 Sunset Blvd
#A
West Columbia, SC 29169
Phone (803) 732-4099
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Vision Therapy Institute
- Optometrist
- West Columbia, SC
- NPI 1114569795
-
- Optometrist
- Columbia, SC
- NPI 1417207713
-
- Optometrist
- Leesville, SC
- NPI 1457392961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394496000000",
"number": "1952365702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 LATONEA DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292107572",
"telephone_number": "803-798-8642",
"fax_number": "803-798-0422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 HARBISON BLVD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292122248",
"telephone_number": "803-732-8663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINKLEY",
"first_name": "JOHN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2014-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "656",
"primary": true
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "SC",
"license": "656",
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "SC",
"license": "656",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "253936",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.