NPIMap

Organization Active NPI

Metrolina Eye Associates, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Indian Land, SC
National Provider Identifier
1063896777
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
METROLINA EYE ASSOCIATES, PLLC
Practice address
6237 Carolina Commons Dr
Suite 300
Indian Land, SC 29707-6014
Phone
(804) 547-3937
NPI assigned
Jul 13, 2015
Last updated
Jul 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Authorized official

Name
Mrs. Stephanie Gove
Title
Asst. Practice Administrator
Phone
(704) 774-1180

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

6237 Carolina Commons Dr
Suite 300
Indian Land, SC 29707-6014

Mailing address

630 Comfort LN
Suite E
Monroe, NC 28112-6199
Phone (704) 289-5455

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2082693Metrolina Eye Associates, PLLC6237 Carolina Commons Drive, Indian Land, SC 29707Certificate of waiverAug 19, 2026

National Provider Directory

National Provider Directory

Locations

6237 Carolina Commons Dr
Ste 300
Indian Land, SC 29707
Phone (803) 547-3937

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1063896777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 COMFORT LN",
            "address_2": "SUITE E",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281126199",
            "telephone_number": "704-289-5455",
            "fax_number": "704-291-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6237 CAROLINA COMMONS DR",
            "address_2": "SUITE 300",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297076014",
            "telephone_number": "804-547-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROLINA EYE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "GOVE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "ASST. PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "704-774-1180",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Land, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.