Active NPI
Surgical Precision Eye LLC
- Glaucoma Specialist (Ophthalmology) Physician
- Georgetown, SC
National Provider Identifier
1124841705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Glaucoma Specialist (Ophthalmology) Physician
- Legal business name
- SURGICAL PRECISION EYE LLC
- Practice address
- 1007 N Fraser St
Georgetown, SC 29440-2848 - Phone
- (281) 217-3894
- NPI assigned
- Nov 4, 2024
- 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. Tala Kassm, D.O.
- Title
- Owner
- Phone
- (281) 217-3894
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | |||
| Glaucoma Specialist (Ophthalmology) Physician | 207WX0009X | Primary | ||
| Retina Specialist (Ophthalmology) Physician | 207WX0107X |
Addresses
Primary practice location
1007 N Fraser St
Georgetown, SC 29440-2848
Mailing address
19 Carolina St
Charleston, SC 29403-4787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250407003244 | SC | Part B Supplier - Clinic/Group Practice | 1557885951 |
Receives reassigned benefits from 3 practitioners Practice locations: Georgetown, SC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Charleston, SC
- NPI 1124346648
Ophthalmology, SC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730678400000",
"number": "1124841705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 CAROLINA ST",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294034787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 N FRASER ST",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294402848",
"telephone_number": "281-217-3894"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL PRECISION EYE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-04",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A",
"authorized_official_last_name": "KASSM",
"authorized_official_first_name": "TALA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "281-217-3894",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207WX0009X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology, Glaucoma Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "207WX0107X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology, Retina Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.