Active NPI
Plantation Eyecare
- Optometrist
- Moncks Corner, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1081
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1081 | SC | Primary |
| Optician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- North Charleston, SC
- NPI 1174505853
-
- Optometrist
- Moncks Corner, SC
- NPI 1649966813
-
- Optometrist
- Moncks Corner, SC
- NPI 1972242774
-
- Optometrist
- Charleston, SC
- NPI 1851134258
-
- Optometrist
- Mount Pleasant, SC
- NPI 1710501267
-
- Optometrist
- Charleston, SC
- NPI 1124910922
-
- Optician
- Ridgeville, SC
- NPI 1497718555
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.