Malissa Ann Laroche (NPI# 1831101385, PAC ID# 3173509429) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1831101385 |
| PAC ID by PECOS | 3173509429 |
| Professional Enrollment ID | I20040628000067 |
| Full Name | Malissa Ann Laroche |
| Organization Legal Name | CAROLINA EYECARE PHYSICIANS LLC |
| Address |
2060 Charlie Hall Blvd Suite 201 Charleston SC 29414-6066 |
| Phone Number | 8437222010 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2000 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9638070436 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2060 Charlie Hall Blvd, Suite 201, Charleston, SC 29414-6066 | 8437222010 | CAROLINA EYECARE PHYSICIANS LLC |
| 1101 Clarity Rd, Mt Pleasant, SC 29464-3138 | 8438813937 | CAROLINA EYECARE PHYSICIANS LLC |
| Organization Legal Name | CAROLINA EYECARE PHYSICIANS LLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter Bw Knowlton | Ophthalmology | Carolina Eyecare Physicians LLC | 1705 Beaucastle Rd, Mount Pleasant, SC 29464-3657 |
| John G P Boatwright Jr. | Ophthalmology | Carolina Eyecare Physicians LLC | 2861 Tricom St, N Charleston, SC 29406-9172 |
| Karen Menzer Ullian | Ophthalmology | Carolina Eyecare Physicians LLC | 1548 Ashley River Rd, Charleston, SC 29407-5296 |
| Charlene Mccutchen Grice | Ophthalmology | Carolina Eyecare Physicians LLC | 2060 Charlie Hall Blvd, Suite 201, Charleston, SC 29414-6066 |
| Robert G Reuther | Ophthalmology | Carolina Eyecare Physicians LLC | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 |
| Gene R Howard | Ophthalmology | Carolina Eyecare Physicians LLC | 2060 Charlie Hall Blvd, Suite 201, Charleston, SC 29414-6066 |
| Thomas J Newland | Ophthalmology | Carolina Eyecare Physicians LLC | 2861 Tricom St, N Charleston, SC 29406-9172 |
| Kristen E Gayeski | Optometry | Carolina Eyecare Physicians LLC | 2861 Tricom St, N Charleston, SC 29406-9172 |
| Francisco Andres Folgar | Ophthalmology | Carolina Eyecare Physicians LLC | 2060 Charlie Hall Blvd, Suite 201, Charleston, SC 29414-6066 |
| Berdine Muirna Burger | Ophthalmology | Carolina Eyecare Physicians LLC | 2060 Charlie Hall Blvd, Suite 201, Charleston, SC 29414-6066 |
| Street Address |
2060 CHARLIE HALL BLVD SUITE 201 |
| City | CHARLESTON |
| State | SC |
| Zip | 29414-6066 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charlene Mccutchen Grice | Ophthalmology | Carolina Eyecare Physicians LLC | 2060 Charlie Hall Blvd, Suite 201, Charleston, SC 29414-6066 |
| Gene R Howard | Ophthalmology | Carolina Eyecare Physicians LLC | 2060 Charlie Hall Blvd, Suite 201, Charleston, SC 29414-6066 |
| Francisco Andres Folgar | Ophthalmology | Carolina Eyecare Physicians LLC | 2060 Charlie Hall Blvd, Suite 201, Charleston, SC 29414-6066 |
| Berdine Muirna Burger | Ophthalmology | Carolina Eyecare Physicians LLC | 2060 Charlie Hall Blvd, Suite 201, Charleston, SC 29414-6066 |
| Kerry D Solomon | Ophthalmology | Carolina Eyecare Physicians LLC | 2060 Charlie Hall Blvd, Suite 201, Charleston, SC 29414-6066 |
| Jeffery Hood | Optometry | Carolina Eyecare Physicians,llc | 2060 Charlie Hall Blvd, Suite 201, Charleston, SC 29414-5830 |
| Megan Lynn Walton | Optometry | Carolina Eyecare Physicians,llc | 2060 Charlie Hall Blvd, Suite 201, Charleston, SC 29414-5830 |
| John L Grady | Ophthalmology | Carolina Eyecare Physicians,llc | 2060 Charlie Hall Blvd, Charleston, SC 29414-5830 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy H Lawton | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 2566 Ashley River Rd, Charleston, SC 29414-4605 |
| Sherrill G Bradsher | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 2566 Ashley River Rd, Charleston, SC 29414-4605 |
| Anthony C Azzolino | Chiropractic | 2352 Ashley River Rd, Charleston, SC 29414-4752 | |
| Marcus R Hostetler | Chiropractic | 2411 Savannah Hwy, Suite 3, Charleston, SC 29414-5320 | |
| William S Ottinger | Obstetrics/gynecology | Charleston Ob/gyn LLC | 1027 Physicians Dr, Suite 110, Charleston, SC 29414-5351 |
| Margaret Crosby Papadea | Obstetrics/gynecology | Charleston Ob/gyn LLC | 1027 Physicians Dr, Suite 110, Charleston, SC 29414-5351 |
| Jennifer Fouquette Fisher | Obstetrics/gynecology | Charleston Ob/gyn LLC | 1027 Physicians Dr, Suite 110, Charleston, SC 29414-5351 |
| Denise Hays Devine | Obstetrics/gynecology | Charleston Ob/gyn LLC | 1027 Physicians Dr, Suite 110, Charleston, SC 29414-5351 |
| Roy D Mckinney | Optometry | 3050 Ashley Town Ctr Dr, Charleston, SC 29414-5664 | |
| Sasha Milleman Perez | Family Medicine | Palmetto Primary Care Physicians | 3030 Ashley Town Ctr Dr, Suite 102a, Charleston, SC 29414-5678 |
| Find all physicians in zip 29414 | |||
| City | CHARLESTON |
| Zip Code | 29414 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CHARLESTON + PHYSICIAN ASSISTANT |
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| 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.