CAROLINA EYECARE PHYSICIANS, LLC (NPI# 1790706927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790706927 |
| Entity Type | Organization |
| Organization Name | CAROLINA EYECARE PHYSICIANS, LLC |
| Practice Address |
459 Spruce St Walterboro SC 29488-2766 |
| Mailing Address |
2861 Tricom St N Charleston SC 29406-9172 |
| Practice Telephone | 8435499500 |
| Practice Fax Number | 8435496885 |
| Mailing Telephone | 8437975511 |
| Mailing Fax Number | 8437970638 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-02-27 |
| Authorized Official Name | DANIEL FLYNN (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 8437250064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP2149 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528315447 | Carolina Eyecare Physicians, LLC | Technician/Technologist | 1280 Hospital Drive, Suite 100, Mt. Pleasant, SC 29464-3285 | 2012-08-09 |
| 1669493896 | Carolina Eyecare Physicians, LLC | Eyewear Supplier (Equipment, not the service) | 2060 Charlie Hall Blvd Ste 201, Charleston, SC 29414-6066 | 2006-07-22 |
| 1578589289 | Carolina Eyecare Physicians, LLC | Eyewear Supplier (Equipment, not the service) | 2861 Tricom St, North Charleston, SC 29406-9172 | 2006-07-14 |
| 1679131247 | Carolina Eyecare Physicians, LLC | Optometrist | 1101 Clarity Rd Ste 100, Mt Pleasant, SC 29464-3138 | 2019-05-30 |
| 1720461643 | Carolina Eyecare Physicians, LLC | Eyewear Supplier (Equipment, not the service) | 1705 Beaucastel Rd, Mt Pleasant, SC 29464-3657 | 2015-07-09 |
| 1851681290 | Carolina Eyecare Physicians, LLC | Technician/Technologist | 296 Midland Pkwy, Summerville, SC 29485-8101 | 2011-04-19 |
| Street Address |
459 SPRUCE ST |
| City | WALTERBORO |
| State | SC |
| Zip Code | 29488-2766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154830743 | Brandon Marshall | Optometrist | 459 Spruce St, Walterboro, SC 29488 | 2017-09-26 |
| 1932405784 | Mark W Axford | Optometrist | 459 Spruce St, Walterboro, SC 29488-2766 | 2011-01-26 |
| 1417060260 | Thomas J Newland | Ophthalmology | 459 Spruce St, Walterboro, SC 29488-2766 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996880 | Tamela Johnson | Counselor | 1439 Thunderbolt Drive Walterboro, Sc 29488, 1439 Thunderbolt Drive Walterboro, Sc 29488, Walterboro, SC 29488 | 2020-09-15 |
| 1558727941 | Amber Henderson | Counselor | 2004 Jefferies Hwyv, Walterbori, SC 29488 | 2016-01-14 |
| 1710130471 | George's Clearvision | Optometrist | 1009 Bells Hwy, Walterboro, SC 29488 | 2008-10-28 |
| 1992965503 | Colleton Chiropractic, LLC | Chiropractor | 211 Eddie Chasteen Drive, Walterboro, SC 29488 | 2008-06-17 |
| 1083885867 | Lowcountry Imaging Associates, LLC | Clinic/Center | 211 Meadow Street, Walterboro, SC 29488 | 2008-03-19 |
| 1215106794 | Lowcountry Center for Diabetes & Endocrinology Pa | Specialist | 16 Northside Dr., Walterboro, SC 29488 | 2008-02-28 |
| 1649399445 | Dan Russell Yarbrough | Dentist | 100a Commerce Drive, Walterboro, SC 29488 | 2007-03-29 |
| 1902931355 | Colleton County School District | Speech-Language Pathologist | 611 Colletonloop, Walterboro, SC 29488 | 2007-02-23 |
| 1477616555 | Samuel Michael Hazel | Dentist | 415a Robertson Blvd, One Professional Plaza, Walterboro, SC 29488 | 2006-12-19 |
| 1245243823 | Landrum Rescue Squad | Ambulance | 203 B Eddie Chasteen Blvd, Walterborough, SC 29488 | 2006-08-14 |
| Find all providers in zip 29488 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575453 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1035 Jockey Ct, Summerville, SC 29483-5217 | 2020-10-14 |
| 1144866898 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1218 Belk Dr # B-2b, Mt Pleasant, SC 29464-3394 | 2019-11-18 |
| 1811539406 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2427 Cross Pointe Dr, Rock Hill, SC 29730-8267 | 2019-10-15 |
| 1609364835 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3525 Park Ave Blvd., Mount Pleasant, SC 29466 | 2018-04-24 |
| 1972049229 | Eyewear By David | Eyewear Supplier (Equipment, not the service) | 927 University Dr, Lancaster, SC 29720-9496 | 2017-01-10 |
| 1386092039 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1370 South Commons Drive, Suite 102, Myrtle Beach, SC 29588 | 2016-06-02 |
| 1154776433 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 507 Piney Grove Rd, Columbia, SC 29210 | 2016-04-25 |
| 1528459062 | Carolina Optical, LLC | Eyewear Supplier (Equipment, not the service) | 503 W Butler Ave, Saluda, SC 29138-1313 | 2015-02-05 |
| 1649691205 | Eye C You Optical | Eyewear Supplier (Equipment, not the service) | 447 S Railroad Ave, Ridgeville, SC 29472 | 2013-12-30 |
| 1740626068 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 100 Columbiana Circle 102, Columbia, SC 29212-2231 | 2013-05-14 |
| Find all providers with the same taxonomy | ||||
| City | WALTERBORO |
| Zip Code | 29488 |
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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.