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ALVA S PACK III PA
NPI 1780608463
Optometrist in Spartanburg, SC

Active since July 27, 2006
399 E HENRY ST, SPARTANBURG, SC 29302(864) 585-0208(864) 594-6783 Get Directions Write a Review

NPPES record last updated: June 6, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alva S Pack Iii Pa NPPES

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

ALVA S PACK III PA (NPI 1780608463) is a healthcare organization registered as an optometrist in Spartanburg, South Carolina and active in the NPI registry since July 2006. The organization lists Louis Ligon Martin, Optometrist/owner, as its authorized official.

NPPES Registry Identity

NPI1780608463
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameALVA S PACK III PA
Location Address399 E HENRY STSpartanburg, SC 29302-2639
Mailing Address399 E Henry StSpartanburg, SC 29302-2639 · (864) 585-0208 · Fax (864) 594-6783
Phone(864) 585-0208
Fax(864) 594-6783
Organization SubpartNo
Authorized OfficialLouis Ligon MartinOptometrist/owner · (864) 585-0208
Enumeration DateJuly 27, 2006
Last NPPES UpdateJune 6, 2013
✔ NPI 1780608463 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 · 489
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.
399 E HENRY ST, Spartanburg, SC 29302
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Other Identifiers 4

Medicare NSC0131410001SC
Other1407811573SC · Npi
Other1922063940SC · Npi
Medicare PIN8441SC

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)

Alva S Pack Iii Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Alva S Pack III PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Louis Martin, OD
Optometry
NPI 1922063940
399 E HENRY ST
Spartanburg, SC 29302
(864) 585-0208
✔ PECOS✔ Accepts MedicareSame address
Lara Martin, O.D.
Optometry
NPI 1518074392
735 EAST MAIN ST
Spartanburg, SC 29302
(864) 542-1308
✔ PECOS✔ Accepts Medicare0.7 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 Alva S Pack III PA's NPI number?

The NPI number for Alva S Pack III PA is 1780608463. It was assigned to this organization in the NPPES registry on July 27, 2006.

Where is Alva S Pack III PA located?

Alva S Pack III PA is located at 399 E Henry St, Spartanburg, SC 29302. The listed phone number is (864) 585-0208.

What is Alva S Pack III PA's specialty?

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

Is Alva S Pack III PA enrolled in Medicare?

Yes. Alva S Pack III PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Alva S Pack III PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Alva S Pack III PA. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Alva S Pack III PA accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 4 other insurers list Alva S Pack III PA 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 Alva S Pack III PA was last updated on June 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.