Organization Active NPI

Thomas M Leland MD PA

  • Ophthalmology Physician
  • Mt Pleasant, SC
National Provider Identifier
1114192010
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
7912 Issued in SC
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

Updated by the provider on Apr 23, 2008

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
GP3104MedicaidSC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.