Individual provider Active NPI

Billy J Haguewood Jr., M.D.

  • Ophthalmology Physician
  • Boiling Springs, SC
National Provider Identifier
1992708135
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
023134 Issued in SC
Practice address
1520 Boiling Springs Rd
Boiling Springs, SC 29316
Phone
(864) 583-6381
Fax
(864) 583-6390
NPI assigned
May 23, 2005
Last updated
Jul 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 023134 SC Primary

Addresses

Primary practice location

1520 Boiling Springs Rd
Boiling Springs, SC 29316

Mailing address

479 Heywood Ave
Spartanburg, SC 29307
Phone (864) 583-6381

Other practice location 1

479 Heywood Ave
Spartanburg, SC 29307
Phone (864) 583-6381

Other identifiers 4

IdentifierTypeStateIssuer
T73710MedicaidSC
180044682OtherSCRAILROAD MEDICARE INDIVID
CJ6730OtherSCRAILROAD MEDICARE GROUP
790656VOtherSCNORTH CAROLINA MEDICAID

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110413000829 SC Practitioner - Ophthalmology 3678774510 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical University of South Carolina College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Eye and Laser Center LLCGroup PAC ID 1850317819, 6 clinicians

Practice addresses (Care Compare)

1520 Boiling Springs Rd
Boiling Springs, SC 29316-5121
Phone (864) 583-6381

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
023134SCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Specialty Eye Surgery, LLC CurrentSince Nov 24, 2020 Accepting new patients
Palmetto Eye & Laser Center, LLC Ophthalmology CurrentSince Aug 1, 2002 Accepting new patients

Locations

1520 Boiling Springs Rd
Spartanburg, SC 29316
Phone (864) 583-6381

1530 Boiling Springs Rd
Spartanburg, SC 29316
Phone (864) 583-6381

479 Heywood Ave
Spartanburg, SC 29307
Phone (864) 583-6381

Interoperability endpoints

  • Direct secure messaging: billy.haguewood@palmettoeyeandlaser.direct.eyemdemr.com

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1992708135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 HEYWOOD AVE",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29307",
            "telephone_number": "864-583-6381",
            "fax_number": "864-583-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 BOILING SPRINGS RD",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "29316",
            "telephone_number": "864-583-6381",
            "fax_number": "864-583-6390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "479 Heywood Ave",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "29307",
            "country_code": "US",
            "telephone_number": "864-583-6381",
            "fax_number": "864-583-6390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGUEWOOD",
        "first_name": "BILLY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "023134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T73710",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE INDIVID",
            "identifier": "180044682",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CJ6730",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA MEDICAID",
            "identifier": "790656V",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boiling Springs, SC

Sources for this page

Verify at the official NPI Registry.