- Medicare in Rock Hill, SC

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is a medicare enrolled "Ophthalmology" provider in Rock Hill, South Carolina. Their current practice location is 410 S Herlong Ave Ste 103, Rock Hill, South Carolina. You can reach out to their office (for appointments etc.) via phone at (803) 985-3937.

is licensed to practice in South Carolina (license number 222281) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1437370657.

Contact Information

410 S Herlong Ave Ste 103,
Rock Hill, SC 29732-8350
(803) 985-3937
(803) 985-3922

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityOphthalmology
Location410 S Herlong Ave Ste 103, Rock Hill, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437370657
  • Provider Enumeration Date: 05/02/2007
  • Last Update Date: 05/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7214986777
  • Enrollment ID: O20050121000621

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437370657NPI-NPPES
GP4138MedicaidSC
222814MedicaidSC
1821218835OtherNPI DR BONITA MILES MACK
1710092309OtherNIMA MAZHARI, OD NPI #
1760441240OtherDAVID B NELSON NPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
207W00000XOphthalmology 222281 (South Carolina)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameDavid B Nelson
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1760441240
PECOS PAC ID: 5294784757
Enrollment ID: I20050124000028
Provider NameNima M Mazhari
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1710092309
PECOS PAC ID: 2668503152
Enrollment ID: I20121010000301
Provider NameBonita M Miles Mack
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1821218835
PECOS PAC ID: 2567876196
Enrollment ID: I20210122000507

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

410 S Herlong Ave Ste 103,
Rock Hill, SC 29732-8350

Ph: (803) 985-3937
410 S Herlong Ave Ste 103,
Rock Hill, SC 29732-8350

Ph: (803) 985-3937

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.