Organization Active NPI

Plantation Eyecare

  • Optometrist
  • Moncks Corner, SC
National Provider Identifier
1023558996
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1081 Issued in SC
Legal business name
PLANTATION EYECARE
Practice address
119 Foxbank Plantation Blvd Ste a
Moncks Corner, SC 29461-6725
Phone
(843) 761-6485
Fax
(843) 761-6486
NPI assigned
Feb 27, 2017
Last updated
Feb 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Authorized official

Name
Kimberly Dawn Rogers
Title
Owner
Phone
(843) 761-6485

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 1081 SC Primary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X 717 SC

Addresses

Primary practice location

119 Foxbank Plantation Blvd Ste a
Moncks Corner, SC 29461-6725

Mailing address

520 Pendleton Dr
Moncks Corner, SC 29461-8872
Phone (843) 761-6485

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180321000082 SC Part B Supplier - Clinic/Group Practice 5496017956 Receives reassigned benefits from 5 practitioners
Practice locations: Moncks Corner, SC

National Provider Directory

National Provider Directory

Locations

111 Foxbank Plantation Blvd
Moncks Corner, SC 29461
Phone (843) 761-6485

111 Foxbank Plantation Blvd
#C
Moncks Corner, SC 29461

113 Foxbank Plantation Blvd
Ste C
Moncks Corner, SC 29461
Phone (843) 761-6485

119 Foxbank Plantation Blvd
Ste A
Moncks Corner, SC 29461
Phone (843) 761-6485

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1023558996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 PENDLETON DR",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294618872",
            "telephone_number": "843-761-6485",
            "fax_number": "843-761-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 FOXBANK PLANTATION BLVD STE A",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294616725",
            "telephone_number": "843-761-6485",
            "fax_number": "843-761-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANTATION EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-761-6485"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1081",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "SC",
            "license": "717",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moncks Corner, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.