Charles M Proctor (NPI# 1740418359, PAC ID# 0840430484) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1740418359 |
| PAC ID by PECOS | 0840430484 |
| Professional Enrollment ID | I20130702000851 |
| Full Name | Charles M Proctor |
| Organization Legal Name | VAUGHT EYE ASSOCIATES, PA |
| Address |
1404 B Main St Conway SC 29526-3567 |
| Phone Number | 8434882020235 |
| Gender | M |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 7416939715 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110083 | PIEDMONT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1404 B Main St, Conway, SC 29526-3567 | 8434882020235 | VAUGHT EYE ASSOCIATES, PA |
| Organization Legal Name | VAUGHT EYE ASSOCIATES, PA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Monroe Vaught | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
| Garett M Wise | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
| Edward L Weiner | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
| Heather Vaught | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
| James Dylan Vaught | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
| Street Address |
1404 B MAIN ST |
| City | CONWAY |
| State | SC |
| Zip | 29526-3567 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Klauburg | Psychiatry | 152 Waccamaw Med Park Dr, Conway, SC 29526 | |
| William M Sisco | Occupational Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Timothy J Cosgriff | Physical Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Janet M Clifford | Physical Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Shasta D Vance | Occupational Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Gaylord Lee Kelley Jr. | Chiropractic | 1238 Pine St, Conway, SC 29526-3402 | |
| James Monroe Vaught | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
| Charlotte L Sloan | Nurse Practitioner | Agape Senior Primary Care Inc | 1400 Main St, Conway, SC 29526-3567 |
| Garett M Wise | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
| Edward L Weiner | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
| Find all physicians in zip 29526 | |||
| City | CONWAY |
| Zip Code | 29526 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | CONWAY + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Charles M Proctor.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.