Myeyedr Optometry Of South Carolina, LLC
Optometrist in Indian Land, SC. Organization (NPI-2).
NPI number1093679961
StatusActive
Last updated in NPPESDec 15, 2025
Details
- NPI
- 1093679961
- Entity type
- Organization (NPI-2)
- Legal business name
- Myeyedr Optometry Of South Carolina, LLC
- Organization subpart
- No
- Enumeration date
- Dec 15, 2025
- Certification date
- Dec 15, 2025
- Last updated
- Dec 15, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
9700 Redstone Dr Ste 300Indian Land, SC 29707-5409
Phone 803-548-3937 · Fax 803-548-3944
Mailing address
8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442
Phone 703-847-8899 · Fax 571-223-6780
Authorized official
Sue Ann Downes
Secretary
7038478899
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 17 Optometrist providers in Indian Land · All 308 providers in Indian Land
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