Summer Moorer Paulatos, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1420 Issued in SC

Practice address

1231 Folly Rd
Charleston, SC 29412-4105

Phone

(843) 795-3400

Fax

(843) 795-3435

NPI assigned

Aug 2, 2006

Last updated

Jul 23, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Summer Leigh Moorer Former name

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. Alice C. Sun and Associates, PCGroup PAC ID 6002907359, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Alice C. Sun & Associates, PC

  • Corneal and Contact Management Optometrist
  • Charleston, SC
  • NPI 1245303270
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1073520805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 AVONDALE AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077259",
            "telephone_number": "843-763-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 FOLLY RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294124105",
            "telephone_number": "843-795-3400",
            "fax_number": "843-795-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULATOS",
        "first_name": "SUMMER",
        "middle_name": "MOORER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "205268645",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D14205",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUMMER",
            "last_name": "MOORER",
            "middle_name": "LEIGH",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paul W Friedman DC LLC
• Caitlin Paul, RN
• Eveline T. Paul, APRN/DNP
• Jordan Paul
• Marjorie Paul, FNP-C
• Agenor Paulino Dias, M.D.
• Remberto C Paulo Jr., M.D.
• Darryl Randolph Pauls, MD
• Jeffrey Michael Paulsen, M.D.
• James Joseph Pavao, PA-C

• Optometrist in Charleston, SC
• Providers in Charleston, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.