THE RETINA CENTER OF CHARLESTON, PA (NPI# 1205031234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205031234 |
| Entity Type | Organization |
| Organization Name | THE RETINA CENTER OF CHARLESTON, PA |
| Practice Address |
2057 Charlie Hall Blvd Suite A Charleston SC 29414-5834 |
| Practice Telephone | 8437636491 |
| Practice Fax Number | 8437636371 |
| Mailing Telephone | 8437636491 |
| Mailing Fax Number | 8437636371 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2011-09-22 |
| Authorized Official Name | DR. LOWREY PEARSON KING (PHYSICIAN,OWNER) |
| Authorized Official Telephone | 8437636491 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
11997 | SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 119972 | 05 |
| Street Address |
2057 CHARLIE HALL BLVD SUITE A |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-5834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962446427 | Lowrey Pearson King | Ophthalmology | 2057 Charlie Hall Blvd, Ste. A, Charleston, SC 29414-5834 | 2006-06-15 |
| 1841510401 | Joseph Reese Mcelveen | Dentist | 2057 Charlie Hall Blvd, Suite D, Charleston, SC 29414-6164 | 2010-06-07 |
| 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 | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275619728 | Cataract & Refractive Surgery Institute, Inc. | Clinic/Center | 310 35th St Se, Suite 11, Charleston, WV 25304-1352 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447870688 | Carolina Specialty Eye Surgery, LLC | Clinic/Center | 1530 Boiling Springs Rd, Boiling Springs, SC 29316-5121 | 2020-04-17 |
| 1770033839 | The Total Vision Insitute LLC | Clinic/Center | 3911a Highway 17, Murrells Inlet, SC 29576-5014 | 2016-10-12 |
| 1366625485 | Jervey Eye Center, LLC | Clinic/Center | 5 Stevens St Ste 2005, Greenville, SC 29605-4528 | 2007-12-12 |
| 1366993784 | The Lasik Vision Institute LLC | Clinic/Center | 1021 Pinnacle Point Dr, Suite 120, Columbia, SC 29223-5740 | 2016-10-20 |
| 1720535115 | The Total Vision Institute LLC | Clinic/Center | 8028 Myrtle Trace Dr, Conway, SC 29526-8945 | 2016-09-02 |
| 1821544743 | The Cataract Vision Institute LLC | Clinic/Center | 37 Villa Rd, Suite 112, Greenville, SC 29615-3038 | 2016-08-31 |
| 1376099291 | The Cataract Vision Institute LLC | Clinic/Center | 1801 Trolley Rd, Suite 202, Summerville, SC 29485-8283 | 2016-08-31 |
| 1073982732 | The Lasik Vision Institute LLC | Clinic/Center | 1801 Old Trolley Rd, Ste 201, Summerville, SC 29485-8283 | 2015-09-23 |
| 1093184756 | The Lasik Vision Institute LLC | Clinic/Center | 37 Villa Rd, Suite 112, Greenville, SC 29615-3038 | 2015-09-23 |
| 1437319027 | Florence Surgery & Laser Center LLC | Clinic/Center | 400 N Cashua Dr, Florence, SC 29501 | 2008-06-17 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
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| 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.