Philip Dunne Flynn IV, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1250 Issued in SC

Practice address

2757 Laurel St
Columbia, SC 29204-2037

Phone

(803) 799-7358

Fax

(803) 779-3719

NPI assigned

Mar 14, 2006

Last updated

Sep 8, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

University of Alabama School of Medicine, 2002

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.35 of 100Reported as individual

Quality

72.71

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carolina Eye Clinic LLC

  • Optometrist
  • Columbia, SC
  • NPI 1477683001
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1952370926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2757 LAUREL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042037",
            "telephone_number": "803-799-7358",
            "fax_number": "803-779-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 LAUREL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042037",
            "telephone_number": "803-799-7358",
            "fax_number": "803-779-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "PHILIP",
        "middle_name": "DUNNE",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC",
            "identifier": "U91386",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEPO",
            "identifier": "0239370001",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D12500",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Floyd
• Stardasha Floyd
• FLX-Ride, LLC
• Kaitlyn Samantha Flynn, FNP
• Patrick Flynn
• Sean Montague Flynn, D.M.D.
• Focus Eye Care Center, PC
• Focus Eye Care Center, PC (Focus Eye Care)
• Alison Eubanks Fogle, PTA
• Elizabeth Summers Fogle, CCC-SLP

• Optometrist in Columbia, SC
• Providers in Columbia, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.