TIDEWATER EYECARE, LLC (NPI# 1750928164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750928164 |
| Entity Type | Organization |
| Organization Name | TIDEWATER EYECARE, LLC |
| Practice Address |
301 Front St. Summerville SC 29486 |
| Mailing Address |
125 Charleston Blvd Isle of Palms SC 29451-2122 |
| Practice Telephone | 8432612020 |
| Practice Fax Number | 8432612080 |
| Mailing Telephone | 8437542798 |
| Mailing Fax Number | 8432612080 |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |
| Authorized Official Name | JEFFREY HOOD (OWNER) |
| Authorized Official Telephone | 8437542798 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Street Address |
301 FRONT ST. |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921454 | Cooper River Pediatric Therapy LLC | Speech-Language Pathologist | 119 Callibluff Dr, Summerville, SC 29486 | 2020-04-24 |
| 1366086621 | Tgd-summerville LLC | Dentist | 604-a Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
| 1336783604 | Tdsp-summerville LLC | Dentist | 604-b Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
| 1699256081 | Denise Michelle Richardson | Speech-Language Pathologist | 201 School House Ln, Summerville, SC 29486 | 2018-08-24 |
| 1497243588 | Charleston Ent Associates, LLC | Non-Pharmacy Dispensing Site | 2205 2nd Avenue, Summerville, SC 29486 | 2018-04-25 |
| 1043707557 | Seaside Family Medicine, LLC | Nurse Practitioner | 1341 College Park Rd # A, Summerville, SC 29486 | 2018-04-19 |
| 1023511144 | Grace Physical Therapy and Sports Rehab At Nexton | Clinic/Center | 5500 Front St, Suite 201, Summerville, SC 29486 | 2018-03-15 |
| 1295253086 | Dillon Robert Gregory | Specialist/Technologist | 313 Springdale Ct., Summerville, SC 29486 | 2017-09-01 |
| 1013456987 | Sfd Kids LLC | Dentist | 108 Parish Farms Drive, Summerville, SC 29486 | 2017-02-13 |
| 1316333529 | Joanna Hedin | Social Worker | 89b Old Trolley Rd., Suite 207, Summerville, SC 29486 | 2015-04-14 |
| Find all providers in zip 29486 | ||||
| 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 |
|---|---|---|---|---|
| 1720696792 | National Vision Inc | Optometrist | 1317 N Main St Ste A3, Summerville, SC 29483-7342 | 2020-07-16 |
| 1265958524 | James Harrison Kyte | Optometrist | 717 Old Trolley Rd Ste 4, Summerville, SC 29485-5287 | 2017-08-18 |
| 1700319282 | Lowcountry Eye Care of Cane Bay, LLC | Optometrist | 1718 State Rd # 176, Suite 3 (8d), Summerville, SC 29486-2801 | 2017-04-11 |
| 1457758088 | James F. Deavers, Od, Pa | Optometrist | 11317 North Main Street, Summerville, SC 29483 | 2014-11-25 |
| 1144646753 | Special Care Vision of Sc, LLC | Optometrist | 717 Trolley Road, Summerville, SC 29485 | 2014-03-07 |
| 1841584364 | Monarch Eye Care LLC | Optometrist | 221 Forsythia Ave, Summerville, SC 29483-5368 | 2011-06-01 |
| 1275867061 | Catherine E. Kister, O.d. LLC | Optometrist | 1112 N Main St Ste E, Summerville, SC 29483-7315 | 2009-09-25 |
| 1700073749 | Ocean Eye, PC | Optometrist | 717 Old Trolley Rd Ste 3, Summerville, SC 29485-5287 | 2007-10-03 |
| 1013116037 | William Justin Dungan | Optometrist | 717 Trolley Rd Ste 3, Summerville, SC 29485-5287 | 2007-07-11 |
| 1992927891 | Crystal G. Whittington | Optometrist | 296 Midland Parkway, Summerville, SC 29485 | 2007-05-02 |
| Find all providers in SUMMERVILLE | ||||
| City | SUMMERVILLE |
| Zip Code | 29486 |
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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.