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ORANGEBURG EYE CENTER
NPI 1194831586
Ophthalmology in Orangeburg, SC

Active since August 21, 2006CLIA 42D2064321 · Waiver
1190 SUMMERS AVE, ORANGEBURG, SC 29115(803) 534-0266 Get Directions Write a Review

NPPES record last updated: October 23, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Orangeburg Eye Center NPPES

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

ORANGEBURG EYE CENTER (NPI 1194831586) is a healthcare organization registered as an ophthalmology in Orangeburg, South Carolina and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 18, 2027 and lists Cindy S Ott, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1194831586
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameORANGEBURG EYE CENTER
Location Address1190 SUMMERS AVEOrangeburg, SC 29115-4922
Mailing AddressPo Box 1226Orangeburg, SC 29116-1226 · (803) 534-0266
Phone(803) 534-0266
Organization SubpartNo
Authorized OfficialCindy S OttOffice Manager · (803) 534-0266
Enumeration DateAugust 21, 2006
Last NPPES UpdateOctober 23, 2007
✔ NPI 1194831586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1190 SUMMERS AVE, Orangeburg, SC 29115
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Other Identifiers 3

MedicaidGP2883SC
OtherCG9821SC · Railroad Medicare
Medicare ID-Type Unspecified6737SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Orangeburg Eye Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Orangeburg Eye Center, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Ryan Rhodes, MD
Ophthalmology
NPI 1013531045
1190 SUMMERS AVE
Orangeburg, SC 29115
(803) 534-0266
✔ PECOS✔ Accepts MedicareSame address
Jack Johnson, MD
Ophthalmology
NPI 1902912322
1190 SUMMERS AVE
Orangeburg, SC 29115
(803) 534-0266
✔ PECOSSame address
Mark Mcgannon, MD
Ophthalmology
NPI 1538275961
1190 SUMMERS AVE
Orangeburg, SC 29115
(803) 534-0266
✔ PECOSSame address
Michael Mcmullen, M.D.
Ophthalmology
NPI 1235450628
1190 SUMMERS AVE
Orangeburg, SC 29115
(803) 534-0266
✔ PECOS✔ Accepts MedicareSame address
Daoling Zhang, MD
Ophthalmology
NPI 1003922485
1190 SUMMERS AVE
Orangeburg, SC 29115
(803) 534-0266
✔ PECOS✔ Accepts MedicareSame address
James Van Hulle, M.D.
Ophthalmology
NPI 1881088029
55 ARCH ST STE 1B
Akron, OH 44304
(330) 375-3315
✔ PECOS✔ Accepts Medicare524 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2064321

Orangeburg Eye Center, Llc/Orangeburg Opticians · Orangeburg, SC
Active · expires Aug 18, 2027
CLIA Number42D2064321
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2025
Certificate Expiration DateAugust 18, 2027
Laboratory DirectorMichael J. Mcmullen
Laboratory Phone(803) 534-0266
Laboratory LocationOrangeburg Eye Center, Llc/Orangeburg Opticians1190 Summers Ave NE, Orangeburg, SC 29115
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Orangeburg Eye Center's NPI number?

The NPI number for Orangeburg Eye Center is 1194831586. It was assigned to this organization in the NPPES registry on August 21, 2006.

Where is Orangeburg Eye Center located?

Orangeburg Eye Center is located at 1190 Summers Ave, Orangeburg, SC 29115. The listed phone number is (803) 534-0266.

What is Orangeburg Eye Center's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Orangeburg Eye Center enrolled in Medicare?

Yes. Orangeburg Eye Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Orangeburg Eye Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Ophthalmology, reassign their Medicare billing to Orangeburg Eye Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Orangeburg Eye Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2064321) is associated with this NPI, valid through August 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Orangeburg Eye Center accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Orangeburg Eye Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Orangeburg Eye Center was last updated on October 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.