CAROLINA EYECARE PHYSICIANS, LLC (NPI# 1669493896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669493896 |
| Entity Type | Organization |
| Organization Name | CAROLINA EYECARE PHYSICIANS, LLC |
| Practice Address |
2060 Charlie Hall Blvd Ste 201 Charleston SC 29414-6066 |
| Mailing Address |
2861 Tricom St North Charleston SC 29406-9172 |
| Practice Telephone | 8437222010 |
| Practice Fax Number | 8437233914 |
| Mailing Telephone | 8437975511 |
| Mailing Fax Number | 8437970638 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-01-08 |
| Authorized Official Name | DANIEL FLYNN (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 8437250064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP2149 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528315447 | Carolina Eyecare Physicians, LLC | Technician/Technologist | 1280 Hospital Drive, Suite 100, Mt. Pleasant, SC 29464-3285 | 2012-08-09 |
| 1790706927 | Carolina Eyecare Physicians, LLC | Eyewear Supplier (Equipment, not the service) | 459 Spruce St, Walterboro, SC 29488-2766 | 2006-07-22 |
| 1578589289 | Carolina Eyecare Physicians, LLC | Eyewear Supplier (Equipment, not the service) | 2861 Tricom St, North Charleston, SC 29406-9172 | 2006-07-14 |
| 1679131247 | Carolina Eyecare Physicians, LLC | Optometrist | 1101 Clarity Rd Ste 100, Mt Pleasant, SC 29464-3138 | 2019-05-30 |
| 1720461643 | Carolina Eyecare Physicians, LLC | Eyewear Supplier (Equipment, not the service) | 1705 Beaucastel Rd, Mt Pleasant, SC 29464-3657 | 2015-07-09 |
| 1851681290 | Carolina Eyecare Physicians, LLC | Technician/Technologist | 296 Midland Pkwy, Summerville, SC 29485-8101 | 2011-04-19 |
| Street Address |
2060 CHARLIE HALL BLVD STE 201 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-6066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427602051 | Alexa L Rowe | Optometrist | 2060 Charlie Hall Blvd Ste 201, Charleston, SC 29414-6066 | 2019-07-31 |
| 1871854794 | Megan Walton | Optometrist | 2060 Charlie Hall Blvd Ste 201, Charleston, SC 29414-6066 | 2012-06-07 |
| 1811159791 | Berdine M Burger | Ophthalmology | 2060 Charlie Hall Blvd Ste 201, Charleston, SC 29414-6066 | 2008-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871837757 | In Focus Optical | Eyewear Supplier (Equipment, not the service) | 1306 Kanawha Blvd East, Charleston, WV 25301-0301 | 2012-11-16 |
| 1952457020 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1013a Town Center Mall, Charleston, WV 25389 | 2007-01-25 |
| 1215002266 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2070 Sam Rittenberg Blvd Ofc B200, Charleston, SC 29407 | 2006-11-22 |
| 1295809622 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 2068 Sam Rittenberg Rd, Citadel Mall, Charleston, SC 29407-4616 | 2006-11-18 |
| 1104907260 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 1031 Charleston Town Center Mall, Charleston, WV 25389 | 2006-10-17 |
| 1548882293 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 415 King St, Charleston, SC 29403-6407 | 2020-05-15 |
| 1477004455 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2070 Sam Rittenberg Blvd, Charleston, SC 29407-4605 | 2016-10-14 |
| 1699169730 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3050 Ashley Town Center Dr, Charleston, SC 29414-5664 | 2015-03-26 |
| 1073854543 | Envision Optical LLC | Eyewear Supplier (Equipment, not the service) | 1306 Kanawha Blvd E, Charleston, WV 25301-3001 | 2013-03-08 |
| 1639331416 | Trident Vision Center Inc | Eyewear Supplier (Equipment, not the service) | 9304 Medical Plaza Dr, Unit C, Charleston, SC 29406-9143 | 2008-07-02 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
Please comment or provide details below to improve the information on CAROLINA EYECARE PHYSICIANS, LLC.
| 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.