Active NPI
Palmetto Cataract and Eye Specialists, LLC
- Ophthalmology Physician
- Summerville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- PALMETTO CATARACT AND EYE SPECIALISTS, LLC
- Practice address
- 515 Carnes Crossing Blvd
Suite C
Summerville, SC 29486 - Phone
- (843) 259-2002
- Fax
- (843) 259-2005
- NPI assigned
- Jun 20, 2012
- 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
- Prat Itharat, MD
- Title
- Owner
- Phone
- (843) 259-2002
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
515 Carnes Crossing Blvd
Suite C
Summerville, SC 29486
Mailing address
515 Carnes Crossing Blvd Ste C
Summerville, SC 29486-0412
Phone (843) 259-2002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31320 | Other | SC | STATE LICENSE |
Other names 1
- Palmetto Eye Institute
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1516 Old Trolley Rd
Summerville, SC 29485
Phone (843) 820-3410
515 Carnes Crossing Blvd
Summerville, SC 29486
515 Carnes Crossing Blvd
Ste C
Summerville, SC 29486
Phone (843) 259-2002
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Summerville, SC
- NPI 1124281688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1114280526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 CARNES CROSSING BLVD STE C",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294860412",
"telephone_number": "843-259-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 CARNES CROSSING BLVD",
"address_2": "SUITE C",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "29486",
"telephone_number": "843-259-2002",
"fax_number": "843-259-2005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMETTO CATARACT AND EYE SPECIALISTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-20",
"last_updated": "2023-03-07",
"certification_date": "2020-01-03",
"status": "A",
"authorized_official_last_name": "ITHARAT",
"authorized_official_first_name": "PRAT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-259-2002",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "31320",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Palmetto Eye Institute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.