Active NPI
Thomas M Leland MD PA
- Ophthalmology Physician
- Mt Pleasant, SC
National Provider Identifier
1114192010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 7912
- Legal business name
- THOMAS M LELAND MD PA
- Practice address
- 578 Lone Tree Dr
Suite 102
Mt Pleasant, SC 29464-8170 - Phone
- (843) 881-2020
- Fax
- (843) 881-2804
- NPI assigned
- Apr 23, 2008
- 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
- Dr. Thomas Mikell Leland, MD
- Title
- Physician/Owner
- Phone
- (843) 571-7337
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 7912 | SC | Primary |
Addresses
Primary practice location
578 Lone Tree Dr
Suite 102
Mt Pleasant, SC 29464-8170
Mailing address
1483 Tobias Gadson Blvd
Suite 103
Charleston, SC 29407-8702
Phone (843) 571-7337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP3104 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
1483 Tobias Gadson Blvd
Ste 103
Charleston, SC 29407
Phone (843) 410-1583
578 Lone Tree Dr
#102
Mt Pleasant, SC 29464
Phone (843) 881-2020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208908800000",
"number": "1114192010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1483 TOBIAS GADSON BLVD",
"address_2": "SUITE 103",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294078702",
"telephone_number": "843-571-7337",
"fax_number": "843-571-6911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "578 LONE TREE DR",
"address_2": "SUITE 102",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294648170",
"telephone_number": "843-881-2020",
"fax_number": "843-881-2804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS M LELAND MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-23",
"last_updated": "2008-04-23",
"status": "A",
"authorized_official_last_name": "LELAND",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "MIKELL",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "843-571-7337",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "SC",
"license": "7912",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP3104",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.