Organization Active NPI

Retina Consultants of Carolina, PA

  • Ophthalmology Physician
  • Greenville, SC
National Provider Identifier
1194708719
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RETINA CONSULTANTS OF CAROLINA, PA
Practice address
1126 Grove Rd
Greenville, SC 29605-4620
Phone
(864) 233-5722
Fax
(864) 233-6027
NPI assigned
Nov 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Mrs. Sharon M Lee
Title
Practice Administrator
Phone
(864) 233-5722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1126 Grove Rd
Greenville, SC 29605-4620

Mailing address

1126 Grove Rd
Greenville, SC 29605-4620
Phone (864) 233-5722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100419000364 SC Part B Supplier - Clinic/Group Practice 2163559477 Receives reassigned benefits from 14 practitioners
Practice locations: Greenville, SC; Spartanburg, SC; Greenwood, SC; Clemson, SC; Anderson, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2163155Retina Consultants of Carolina1126 Grove Rd, Greenville, SC 29605Certificate of waiverMar 7, 2027

National Provider Directory

National Provider Directory

Locations

528 Old Greenville Hwy
Clemson, SC 29631
Phone (864) 233-5722

1130 Grove Rd
Ste B
Greenville, SC 29605

1126 Grove Rd
Greenville, SC 29605
Phone (864) 233-5722

480 N Church St
Spartanburg, SC 29303
Phone (864) 233-5722

Interoperability endpoints

  • Direct secure messaging: sfeldman@rcc.intellechartdirect.net
  • Direct secure messaging: ewilliams@rcc.intellechartdirect.net
  • Direct secure messaging: wjohnson@rcc.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1194708719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 GROVE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054620",
            "telephone_number": "864-233-5722",
            "fax_number": "864-233-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 GROVE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054620",
            "telephone_number": "864-233-5722",
            "fax_number": "864-233-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA CONSULTANTS OF CAROLINA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "864-233-5722",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.