EYES ON THE LAKE LLC
NPI 1316443146
Optometrist in Columbia, SC

Q: What is Eyes On The Lake LLC's NPI number?

The NPI number for Eyes On The Lake LLC is 1316443146. It was assigned to this organization in the NPPES registry on April 2, 2018.

Q: What is Eyes On The Lake LLC's specialty?

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

Active since April 02, 2018

2914 DREHER SHOALS RD STE A, COLUMBIA, SC 29212(803) 575-0723 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Eyes On The Lake Llc NPPES

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

EYES ON THE LAKE LLC (NPI 1316443146) is a healthcare organization registered as an optometrist in Columbia, South Carolina and active in the NPI registry since April 2018. The organization lists Matthew Daniels, Owner/optometrist, as its authorized official.

NPPES Registry Identity

NPI1316443146

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameEYES ON THE LAKE LLC

Location Address2914 DREHER SHOALS RD STE AColumbia, SC 29212-7909

Mailing Address2914 Dreher Shoals Rd Ste AColumbia, SC 29212-7909

Phone(803) 575-0723

Organization SubpartNo

Authorized OfficialMatthew DanielsOwner/optometrist · (727) 804-3063

Enumeration DateApril 2, 2018

Last NPPES UpdateJuly 27, 2023

NPPES CertifiedJuly 27, 2023

✔ NPI 1316443146 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 · 1597

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.

2914 DREHER SHOALS RD STE A, Columbia, SC 29212

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eyes On The Lake Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eyes On The Lake LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Matthew Daniels, O.D.

Optometry

NPI 1962797357

201 HARBISON BLVD UNIT 110
Columbia, SC 29212

(803) 732-1942

✔ PECOS✔ Accepts Medicare4.1 mi

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

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 Eyes On The Lake LLC's NPI number?

The NPI number for Eyes On The Lake LLC is 1316443146. It was assigned to this organization in the NPPES registry on April 2, 2018.

Where is Eyes On The Lake LLC located?

Eyes On The Lake LLC is located at 2914 Dreher Shoals Rd Ste A, Columbia, SC 29212. The listed phone number is (803) 575-0723.

What is Eyes On The Lake LLC's specialty?

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

Is Eyes On The Lake LLC enrolled in Medicare?

Yes. Eyes On The Lake LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eyes On The Lake LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Eyes On The Lake LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eyes On The Lake LLC was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.