PALMETTO EYE & LASER CENTER, LLC (NPI# 1457384729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457384729 |
| Entity Type | Organization |
| Organization Name | PALMETTO EYE & LASER CENTER, LLC |
| Practice Address |
1520 Boiling Springs Rd Boiling Springs SC 29316-5121 |
| Mailing Address |
479 Heywood Ave Spartanburg SC 29307-1726 |
| Practice Telephone | 8645836381 |
| Practice Fax Number | 8645836390 |
| Mailing Telephone | 8645836381 |
| Mailing Fax Number | 8645836390 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2019-07-09 |
| Authorized Official Name | DR. BILLY J HAGUEWOOD JR. (OWNER) |
| Authorized Official Telephone | 8645836381 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RAILROAD MEDICARE GROUP | CJ6730 | 01 |
| SC | MEDICARE GROUP ID | 7292 | 01 |
| SC | MEDICAID GROUP | GP3396 | 01 |
| Street Address |
1520 BOILING SPRINGS RD |
| City | BOILING SPRINGS |
| State | SC |
| Zip Code | 29316-5121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708135 | Billy J Haguewood Jr. | Ophthalmology | 1520 Boiling Springs Rd, Boiling Springs, SC 29316 | 2005-05-23 |
| 1235333634 | Karen Leanne Wickliffe-keisler | Ophthalmology | 1520 Boiling Springs Rd, Boiling Springs, SC 29316 | 2007-06-12 |
| 1295886125 | Jake P Bostrom | Ophthalmology | 1520 Boiling Springs Rd, Boiling Springs, SC 29316 | 2007-01-16 |
| 1568566719 | John Steve Mcphail | Optometrist | 1520 Boiling Springs Rd, Boiling Springs, SC 29316 | 2006-09-09 |
| 1437151990 | Brice B. Dille | Ophthalmology | 1520 Boiling Springs Rd, Boiling Springs, SC 29316-5121 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891254579 | Boiling Springs First Baptist Church Counseling Service | Marriage & Family Therapist | 3600 Boiling Springs Rd, Boiling Springs, SC 29316 | 2019-03-13 |
| 1942675566 | Anitra Williams Mims | Social Worker | 186 John Dodd Rd, Boiling Springs, SC 29316 | 2015-12-08 |
| 1407222532 | Felisha Booker | Nurse Practitioner | 1214 Turning Leaf Cir, Boiling Springs, SC 29316 | 2015-08-12 |
| 1699157669 | Zarmina Hussain | Dentist | 1860 Old Furnace Rd, Boiling Springs, SC 29316 | 2015-06-25 |
| 1700272424 | Family Builders Counseling Services | Community/Behavioral Health | 1965 Old Furnace Rd, Boiling Springs, SC 29316 | 2015-04-09 |
| 1538504311 | District 2 Schools Spartanburg County | Registered Nurse | 4606 Parris Brigde Rd, Boiling Springs, SC 29316 | 2013-05-07 |
| 1639441769 | Daniel Earl Kimbrell | Physical Therapy Assistant | 395 Castleton Cir, Boiling Springs, SC 29316 | 2012-02-06 |
| 1427283084 | Bernard Walvin Kaseman | Chiropractor | 1523 Boiling Springs Rd, Boiling Springs, SC 29316 | 2009-05-26 |
| 1730320482 | Elliott Michael Keller | Optometrist | 8674 Asheville Highway, Boiling Springs, SC 29316 | 2009-03-10 |
| 1003063447 | Marion Virginia Brannon | Chiropractor | 2137 Boiling Springs Rd., Boiling Springs, SC 29316 | 2008-08-27 |
| Find all providers in zip 29316 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708135 | Billy J Haguewood Jr. | Ophthalmology | 1520 Boiling Springs Rd, Boiling Springs, SC 29316 | 2005-05-23 |
| 1235333634 | Karen Leanne Wickliffe-keisler | Ophthalmology | 1520 Boiling Springs Rd, Boiling Springs, SC 29316 | 2007-06-12 |
| 1295886125 | Jake P Bostrom | Ophthalmology | 1520 Boiling Springs Rd, Boiling Springs, SC 29316 | 2007-01-16 |
| 1437151990 | Brice B. Dille | Ophthalmology | 1520 Boiling Springs Rd, Boiling Springs, SC 29316-5121 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453525 | Southern Eye Associates of Sc, Pa | Ophthalmology | 1330 Boiling Springs Rd Ste 2400, Spartanburg, SC 29303-4213 | 2019-08-19 |
| 1568915619 | Susannah Liberty Brown | Ophthalmology | 167 Ashley Ave Rm 503, Charleston, SC 29425-3098 | 2016-07-25 |
| 1982008439 | Garry Binegar Sr. | Ophthalmology | 38 Spring Island Dr, Callawassie Island, Okatie, SC 29909-4006 | 2014-10-13 |
| 1003216540 | Robert Osborne Brown Jr. | Ophthalmology | 400 Ridgecrest Dr, Clemson, SC 29631-1896 | 2014-09-03 |
| 1417200148 | Georgia Eye Institute of The Southeast, LLC | Ophthalmology | 80 Baylor Way, Bluffton, SC 29910-8902 | 2012-10-18 |
| 1306116256 | Atlantic Eye Associates | Ophthalmology | 8028 Myrtle Trace Dr, Conway, SC 29526-8945 | 2012-01-10 |
| 1316246499 | Rock Hill Eye Clinic | Ophthalmology | 1698 W. Hwy 160, Suite 110, Fort Mill, SC 29715-7069 | 2011-03-15 |
| 1508162728 | Charles Pinckney Hunter IIi | Ophthalmology | 1501 North Main St, Anderson, SC 29626 | 2011-02-04 |
| 1982910337 | Joseph Anthony Manno IIi | Ophthalmology | 101 Oak Park Dr, Irmo, SC 29063-6105 | 2010-08-24 |
| 1790097681 | Anand Prem Rajani | Ophthalmology | 1773 Ebenezer Rd, Rock Hill, SC 29732-1101 | 2010-07-08 |
| Find all providers with the same taxonomy | ||||
| City | BOILING SPRINGS |
| Zip Code | 29316 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.