Organization Active NPI

Rock Hill Eye Clinic, P.a.

  • Ophthalmology Physician
  • Rock Hill, SC
National Provider Identifier
1003873308
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ROCK HILL EYE CLINIC, P.A.
Practice address
1565 Ebenezer Rd
Rock Hill, SC 29732-3421
Phone
(803) 328-0168
Fax
(803) 325-8473
NPI assigned
Apr 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristina Lauritzen
Title
Practice Manager
Phone
(803) 981-5614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X SC Primary

Addresses

Primary practice location

1565 Ebenezer Rd
Rock Hill, SC 29732-3421

Mailing address

1773 Ebenezer Rd
Rock Hill, SC 29732-1101
Phone (803) 328-0168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040618001062 SC Part B Supplier - Clinic/Group Practice 8921083502 Receives reassigned benefits from 6 practitioners
Practice locations: Fort Mill, SC; Rock Hill, SC

National Provider Directory

National Provider Directory
Tax ID family
Rock Hill Eye Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2536 Lengers Way
Indian Land, SC 29707
Phone (803) 313-3294

1565 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 327-4000

1773 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 328-0168

1565 Ebenezer Rd
Ste 100
Rock Hill, SC 29732
Phone (803) 328-0168

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1003873308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321101",
            "telephone_number": "803-328-0168",
            "fax_number": "803-325-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323421",
            "telephone_number": "803-328-0168",
            "fax_number": "803-325-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK HILL EYE CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "LAURITZEN",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "803-981-5614"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.