Paul Derrick, OD
NPI 1083674113 · Optometrist · Irmo, SC
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Derrick, OD is a Optometrist provider in Irmo, SC (NPI 1083674113).
Provider details
- NPI number
- 1083674113
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 496 (SC)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-24
- Last updated
- 2017-12-08
Frequently asked questions
- What is Paul Derrick's NPI number?
- Paul Derrick's National Provider Identifier (NPI) is 1083674113, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Derrick's specialty?
- Paul Derrick is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Paul Derrick located?
- Paul Derrick's practice location on file with NPPES is 7229 St Andrews Road, Irmo, SC 29063-0722.
- What is Paul Derrick's phone number?
- The practice phone number listed in the NPPES registry for Paul Derrick is (803) 781-2212.
- Does Paul Derrick accept Medicare?
- Paul Derrick is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Derrick's NPI active?
- Yes — Paul Derrick's NPI (1083674113) is active in the NPPES registry as of the last update on 2017-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.