EYECARE SPECIALTIES OF CHARLESTON (NPI# 1487631867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487631867 |
| Entity Type | Organization |
| Organization Name | EYECARE SPECIALTIES OF CHARLESTON |
| Practice Address |
3531 Mary Ader Ave Ste B Charleston SC 29414-5896 |
| Practice Telephone | 8435772047 |
| Mailing Telephone | 8435772047 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2019-05-02 |
| Authorized Official Name | KIM FAULKNER (ADMINISTRATOR) |
| Authorized Official Telephone | 8435772047 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DA9789 | 05 |
| Other Name | Type Code |
|---|---|
| Village Optical | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 112 Bull St, Charleston, SC 294011713 | 8435772047 |
| Street Address |
3531 MARY ADER AVE STE B |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-5896 |
| 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 | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083248785 | National Vision Inc | Optometrist | 2031 Sam Rittenberg Blvd Ste 101, Charleston, SC 29407-4681 | 2020-03-03 |
| 1679046569 | Eye Care Associates of Sc | Optometrist | 8484 Dorchester Rd Ste B3, Charleston, SC 29420-7319 | 2019-01-03 |
| 1740612506 | Megan Marie Sexton | Optometrist | 1470 Tobias Gadson Blvd Ste 115, Charleston, SC 29407-4835 | 2013-08-05 |
| 1760722482 | Lowcountry Vision Care, LLC | Optometrist | 91 Broad St, Charleston, SC 29401-2272 | 2013-02-16 |
| 1922271774 | See Inc | Optometrist | 355 King St, Charleston, SC 29401-1438 | 2008-04-11 |
| 1841481769 | Steven James Hosman | Optometrist | 1301 Lee St East, Charleston, WV 25301 | 2007-08-06 |
| 1346442571 | Donald Paul Cohen | Optometrist | 924 Quarrier St, Charleston, WV 25301-2619 | 2007-06-01 |
| 1053537068 | Coastal Eye Care of Charleston, LLC | Optometrist | 1606 Harbor View Rd, Charleston, SC 29412-3216 | 2007-04-18 |
| 1760500524 | Coastal Eye Care of Daniel Island | Optometrist | 225 Seven Farms Drive, 105, Charleston, SC 29492 | 2007-03-27 |
| 1790809226 | Gregory S Moore Od PC | Optometrist | 2335 Chesterfield Ave Ste 303, Charleston, WV 25304-1066 | 2007-03-19 |
| Find all providers in CHARLESTON | ||||
| 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.