Organization Active NPI

Stokes Regional Eye Centers

  • Ophthalmology Physician
  • Florence, SC
National Provider Identifier
1194713636
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
STOKES REGIONAL EYE CENTERS
Practice address
367 West Evans Street
Florence, SC 29501-3429
Phone
(843) 669-4156
Fax
(843) 664-2122
NPI assigned
Oct 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Authorized official

Name
Dr. Mark R Stokes, MDNPI 1013910595
Title
President/Managing Partner
Phone
(843) 669-4156

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

367 West Evans Street
Florence, SC 29501-3429

Mailing address

367 West Evans Street
Florence, SC 29501-3429
Phone (843) 669-4156

Other identifiers 1

IdentifierTypeStateIssuer
CE5235OtherSCRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040129000717 SC Part B Supplier - Clinic/Group Practice 0345143186 Receives reassigned benefits from 8 practitioners
3 other NPIs on this enrollment
Practice locations: Florence, SC; Sumter, SC

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
42D2106448Stokes Regional Eye Centers367 West Evans Street, Florence, SC 29501Certificate of waiverDec 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
Stokes Regional Eye Centers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • Direct secure messaging: mross@stokeseye.intellechartdirect.net
  • Direct secure messaging: mstokes@stokeseye.intellechartdirect.net
  • Direct secure messaging: sharvey@stokeseye.intellechartdirect.net
  • Direct secure messaging: dlyttle@stokeseye.intellechartdirect.net
  • Direct secure messaging: jgoodson@stokeseye.intellechartdirect.net
  • Direct secure messaging: hstokes@stokeseye.intellechartdirect.net
  • Direct secure messaging: gking@stokeseye.intellechartdirect.net

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1194713636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 WEST EVANS STREET",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013429",
            "telephone_number": "843-669-4156",
            "fax_number": "843-664-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 WEST EVANS STREET",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013429",
            "telephone_number": "843-669-4156",
            "fax_number": "843-664-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOKES REGIONAL EYE CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/MANAGING PARTNER",
        "authorized_official_telephone_number": "843-669-4156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CE5235",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.