Individual provider Active NPI

John L Brinkley, OD

  • Optometrist
  • Columbia, SC
National Provider Identifier
1952365702
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
656 Issued in SC
Practice address
360 Harbison Blvd
Columbia, SC 29212-2248
Phone
(803) 732-8663
NPI assigned
Apr 17, 2006
Last updated
Mar 11, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
253936MedicaidSC

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
I20100924001135 SC Practitioner - Optometry 1850384124 Reassigns benefits to 3 organizations

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
Focus Eye Care Center PCGroup PAC ID 4082607346, 4 clinicians

Practice addresses (Care Compare)

115 E Church St
Leesville, SC 29070-7595
Phone (803) 582-7999

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
656SCMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Insyte LLC Optometrist CurrentSince Feb 2, 2016 Accepting new patients
Vision Therapy Institute of SC Optometrist CurrentSince Oct 5, 2019 Accepting new patients
Focus Eye Care Center, PC Optometrist CurrentSince Apr 1, 1999 Accepting new patients
Focus Eye Care Center, PC Optometrist CurrentSince Apr 1, 1999 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.

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

Verify at the official NPI Registry.