SOUTHEASTERN OCULARISTS, INC.


Address: 1300 Hospital Dr, Suite 260, Mt Pleasant, SC 29464-3261
Phone: 8438847113

SOUTHEASTERN OCULARISTS, INC. (NPI# 1841213196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841213196
Entity Type Organization
Organization Name SOUTHEASTERN OCULARISTS, INC.
Practice Address 1300 Hospital Dr
Suite 260
Mt Pleasant
SC 29464-3261
Mailing Address 8426 Medical Plaza Dr
Suite 500
Charlotte
NC 28262-9746
Practice Telephone 8438847113
Practice Fax Number 7045109881
Mailing Telephone 7045109292
Mailing Fax Number 7045109881
Enumeration Date 2006-07-26
Last Update Date 2016-04-05
Authorized Official Name MR. ROBERT HENDERLITE (PRESIDENT)
Authorized Official Telephone 7045109292
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332BC3200X Durable Medical Equipment & Medical Supplies
Specialization: Customized Equipment
Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
SC DE2724 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1033396551 Southeastern Ocularists, Inc. Durable Medical Equipment & Medical Supplies 8426 Medical Plaza Dr, Suite 500, Charlotte, NC 28262-9746 2008-01-28

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities SOUTHEASTERN OCULARISTS, INC 1300 Hospital Dr Ste 260, Mount Pleasant, SC 29464-3244

Office Location

Street Address 1300 HOSPITAL DR
SUITE 260
City MT PLEASANT
State SC
Zip Code 29464-3261

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1013226745 Jcrk Management Inc Clinic/Center 1300 Hospital Dr, Ste 120, Mt Pleasant, SC 29464-3261 2010-09-29
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1144471103 Barbara Bolton Stone Advanced Practice Midwife 1300 Hospital Dr, Suite 270, Mt Pleasant, SC 29464-3261 2008-10-08
1104001551 Eugenia Blake Advanced Practice Midwife 1300 Hospital Dr, Suite 270, Mt Pleasant, SC 29464-3261 2008-01-04
1326248766 David K. Smith M D LLC Obstetrics & Gynecology 1300 Hospital Dr, Suite 250, Mt Pleasant, SC 29464-3261 2007-07-24
1073714713 Lowcountry Gastroenterology Associates, Pa Clinic/Center 1300 Hospital Dr, Suite 300, Mt Pleasant, SC 29464-3261 2007-05-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811548241 Bradley Paul Anuszkiewicz Chiropractor 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 2019-09-26
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Taxonomy Information

Taxonomy Code 332BC3200X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Customized Equipment

Taxonomy Definition

Definition to come...

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1619424264 Dr. Timothy Gross' Dental Excellence LLC Durable Medical Equipment & Medical Supplies 15 Bow Cir, Suite 104, Hilton Head Island, SC 29928-3211 2016-09-01
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Competitor

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City MT PLEASANT
Zip Code 29464

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Dataset Information

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.

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