Individual provider Active NPI

Milan Christopher Lockhart, O.D. - OPTOMETRIST

  • Optometrist
  • Greenville, SC
National Provider Identifier
1982199576
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2074 Issued in SC
Practice address
700 Haywood Rd
Ste 2018E
Greenville, SC 29607
Phone
(864) 234-5350
Fax
(864) 234-5352
NPI assigned
Jun 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2074 SC Primary

Addresses

Primary practice location

700 Haywood Rd
Ste 2018E
Greenville, SC 29607

Mailing address

700 Haywood Rd, Box 227
Greenville, SC 29607
Phone (864) 234-5350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20181002000103 NC Practitioner - Optometry 1557612512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2530NCMDProfessional Counselor
2074SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
David Wichnoski OD PA Optometrist PastSince Oct 1, 2018 Accepting new patients
Interventional Pain & Spine Specialists, PLLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6303/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1982199576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HAYWOOD RD, BOX 227",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29607",
            "telephone_number": "864-234-5350",
            "fax_number": "864-234-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HAYWOOD RD",
            "address_2": "STE 2018E",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29607",
            "telephone_number": "864-234-5350",
            "fax_number": "864-234-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKHART",
        "first_name": "MILAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "O.D. - OPTOMETRIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.