BASIL NORMAN COOMBS (OD) – Optometrist, NPI 1154525160

BASIL NORMAN COOMBS (OD) is a healthcare provider. based in Evans, Georgia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. SC1226 (SC). The NPI Number for BASIL NORMAN COOMBS (OD) is 1154525160

Main info

Male
36 Years Of Experience
Name
BASIL NORMAN COOMBS (OD)
NPI
1154525160
Phone
(803) 442-3050
Address
1371 WATERSTON DR
Enumeration Date
13 June 2007
Last Update Date
11 December 2012

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
7067363937
Graduation Year
1990 (36 years ago)
PAC ID
4789817131
Group Practice PAC ID
2860660529
Professional Enrollment ID
I20190423002305
Address ID
GA309091015AU3412XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

544 OPTOMETRY in SC

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Provider Addresses for BASIL NORMAN COOMBS (OD)

  • 1371 WATERSTON DR

    EVANS, GA 30809

    Phone: (803) 442-3050

    Fax: (803) 202-0275

    Type: Mailing

  • Walmart Supercenter, 1201, Knox Avenue, Edgefield Heights, North Augusta, Aiken County, South Carolina, 29841, United States

    NORTH AUGUSTA, SC 298414056

    Phone: (803) 442-3050

    Fax: (803) 202-0275

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $367.

Total Amount is formed as General ($367) + Research ($0) + Ownership ($0) = $367.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Dompe US, Inc. ($125).

Total Amount

$367

General + Research + Ownership

Payments

4

Total payment records

General Amount

$367

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-04-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190423002305IOptometryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30809)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860660529View full group profile
NameSpecialtyState
O P T O M E T R YGA
O P T O M E T R YGA
O P T O M E T R YFL
O P T O M E T R YGA

Reviews

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Frequently asked questions

Is there an official ID for BASIL NORMAN COOMBS (OD) in U.S. healthcare records?
The official identifier for BASIL NORMAN COOMBS (OD) is NPI 1154525160.
Would BASIL NORMAN COOMBS (OD) appear as active to a payer?
You can treat BASIL NORMAN COOMBS (OD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is BASIL NORMAN COOMBS (OD)?
BASIL NORMAN COOMBS (OD) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with BASIL NORMAN COOMBS (OD)?
Directory geography for BASIL NORMAN COOMBS (OD) centers on Evans, Georgia.
What does 2 location(s) imply?
2 practice locations appear in the available data.