PALMETTO OCULOPLASTICS (NPI# 1548710155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548710155 |
| Entity Type | Organization |
| Organization Name | PALMETTO OCULOPLASTICS |
| Practice Address |
613 Long Point Rd Suite 201 Mt Pleasant SC 29464-8350 |
| Mailing Address |
211 Main St Barnesville GA 30204-1469 |
| Practice Telephone | 4788453515 |
| Practice Fax Number | 4788453516 |
| Mailing Telephone | 4788453515 |
| Mailing Fax Number | 4788453516 |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |
| Authorized Official Name | BYRON DEEN (OWNER) |
| Authorized Official Telephone | 4788453515 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
MD31662 | SC | Ambulatory Health Care Facilities |
| Street Address |
613 LONG POINT RD SUITE 201 |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29464-8350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710995543 | John D Gross | Ophthalmology | 613 Long Point Rd, Suite 201, Mt Pleasant, SC 29464-8350 | 2006-08-04 |
| 1992966477 | Carolina Macular and Retinal Care LLC | Ophthalmology | 613 Long Point Rd, Suite 201, Mt Pleasant, SC 29464-8350 | 2008-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902356140 | Midmichigan Pain | Clinic/Center | 2305 Hawthorn Dr, Suite B, Mt Pleasant, MI 48858-1202 | 2016-10-12 |
| 1659561876 | Metabolic Medical Centers, Inc. | Clinic/Center | 570 Long Point Rd, Suite # 100, Mt Pleasant, SC 29464-7930 | 2007-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843804 | Holistic Healthcare | Clinic/Center | 1024 Cane Branch Rd, Walterboro, SC 29488-0802 | 2020-08-24 |
| 1043846595 | Vip Cosmetic Surgery, Pa | Clinic/Center | 10 William Pope Dr Ste 4, Bluffton, SC 29909-7550 | 2020-03-17 |
| 1720638026 | Veinart Diagnostics and Aesthetics | Clinic/Center | 531 Pine Trl, Williamston, SC 29697-9263 | 2019-09-18 |
| 1780164541 | Suval Psychiatric Services, Pa | Clinic/Center | 33 Market Point Dr Ste 2023, Greenville, SC 29607 | 2018-08-20 |
| 1477881126 | Baptist Easley Hospital | Clinic/Center | 1807a East Main St., Easley, SC 29640-0000 | 2009-11-18 |
| 1265674253 | Plastic Surgery Center of The Carolinas | Clinic/Center | 391 Serpentine Dr Ste 300, Spartanburg, SC 29303-3080 | 2009-04-06 |
| 1770723512 | May River Dermatology | Clinic/Center | 350 Fording Island Rd, Suite 100, Bluffton, SC 29910-5168 | 2009-03-05 |
| 1215183215 | The Head and Neck Center: for Otolaryngology, Facial Plastic and Recon | Clinic/Center | 2 Leas Courtyard Dr, Seneca, SC 29672-6660 | 2008-08-11 |
| 1447468111 | George Richmond Mushet | Clinic/Center | 117 Pine Needle Rd, Aiken, SC 29803-2631 | 2007-05-18 |
| 1730225178 | Caroline R. Price Md Pa | Clinic/Center | 10 Enterprise Blvd Ste 107, Greenville, SC 29615-3534 | 2007-01-30 |
| Find all providers with the same taxonomy | ||||
| City | MT PLEASANT |
| Zip Code | 29464 |
Please comment or provide details below to improve the information on PALMETTO OCULOPLASTICS.
| 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.