Active NPI
Matthew Daniels, O.D.
- Optometrist
- Columbia, SC
National Provider Identifier
1962797357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1597
- Practice address
- 201 Harbison Blvd
Unit 110
Columbia, SC 29212-2270 - Phone
- (803) 732-1942
- NPI assigned
- Jun 14, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1597 | SC | Primary |
Addresses
Primary practice location
201 Harbison Blvd
Unit 110
Columbia, SC 29212-2270
Mailing address
201 Harbison Blvd
Unit 110
Columbia, SC 29212-2270
Phone (803) 732-1942
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, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2914 Dreher Shoals Rd
Suite a
Columbia, SC 29212-7909
Phone (803) 233-1774
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1597 | SC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martinez Eye Associates LLC | Optometrist | Current | Accepting new patients |
| Eyes on the Lake LLC | Optometrist | Current | Accepting new patients |
Locations
2914 Dreher Shoals Rd
#A
Columbia, SC 29212
Phone (803) 233-1774
201 Harbison Blvd
Ste 110
Columbia, SC 29212
Phone (803) 732-1917
Organizations & group practices 2
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.
-
- Optometrist
- Columbia, SC
- NPI 1316443146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1962797357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 HARBISON BLVD",
"address_2": "UNIT 110",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292122270",
"telephone_number": "803-732-1942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 HARBISON BLVD",
"address_2": "UNIT 110",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292122270",
"telephone_number": "803-732-1942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-14",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1597",
"primary": true
}
],
"identifiers": [],
"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 Jul 27, 2023; 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.