Organization Active NPI

Eye Site LLC

  • Optometrist
  • Hilton Head Island, SC
National Provider Identifier
1013007210
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1344 Issued in SC
Legal business name
EYE SITE LLC
Practice address
25 Pembroke Dr
Hilton Head Island, SC 29926-2259
Phone
(843) 681-3396
Fax
(843) 681-8734
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Authorized official

Name
Dr. Robert Szypczak, O.D.NPI 1841220878
Title
Optometrist/Part Owner
Phone
(843) 681-3396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1344 SC Primary

Addresses

Primary practice location

25 Pembroke Dr
Hilton Head Island, SC 29926-2259

Mailing address

16 Charlesfort PL
Hilton Head Island, SC 29926-1988
Phone (843) 540-2327

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050914000565 SC Part B Supplier - Clinic/Group Practice 4789617358 Receives reassigned benefits from 2 practitioners
Practice locations: Hardeeville, SC; Hilton Head, SC

National Provider Directory

National Provider Directory

Locations

25 Pembroke Dr
Hilton Head Island, SC 29926
Phone (843) 681-3010

Practitioners & affiliated clinicians

Practitioners 2

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": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1013007210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CHARLESFORT PL",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299261988",
            "telephone_number": "843-540-2327",
            "fax_number": "843-681-8734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 PEMBROKE DR",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262259",
            "telephone_number": "843-681-3396",
            "fax_number": "843-681-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SITE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "SZYPCZAK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OPTOMETRIST/PART OWNER",
        "authorized_official_telephone_number": "843-681-3396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.