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DR. PAUL W DERRICK OD
NPI 1083674113
Optometrist in Irmo, SC

Active since March 24, 2006PECOS Enrolled
7229 ST ANDREWS ROAD, IRMO, SC 29063(803) 781-2212(803) 233-2883 Get Directions Write a Review

NPPES record last updated: December 8, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Paul W Derrick Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAUL W DERRICK OD (NPI 1083674113) is an individual optometrist in Irmo, South Carolina, licensed in South Carolina (496) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083674113
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. PAUL W DERRICKCredential: OD
Location Address7229 ST ANDREWS ROADIrmo, SC 29063-0722
Mailing Address22 Beachwood WIsle Of Palms, SC 29451-2899 · (803) 781-2212 · Fax (803) 233-2883
Phone(803) 781-2212
Fax(803) 233-2883
Sole ProprietorNo
Enumeration DateMarch 24, 2006
Last NPPES UpdateDecember 8, 2017
✔ NPI 1083674113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in SC · 496
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
7229 ST ANDREWS ROAD, Irmo, SC 29063
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Other Identifiers 1

MedicaidD04966SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paul W Derrick Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29063 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Derrick's NPI number?

The NPI number for Paul Derrick is 1083674113. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Paul Derrick located?

Paul Derrick practices at 7229 St Andrews Road, Irmo, SC 29063. The listed phone number is (803) 781-2212.

What is Paul Derrick's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Paul Derrick enrolled in Medicare?

Yes. Paul Derrick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paul Derrick was last updated on December 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.