The Retina Center of Charleston, PA

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

11997 Issued in SC

Legal business name

THE RETINA CENTER OF CHARLESTON, PA

Practice address

2057 Charlie Hall Blvd
Suite a
Charleston, SC 29414-5834

Phone

(843) 763-6491

Fax

(843) 763-6371

NPI assigned

Jun 19, 2007

Last updated

Sep 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lowrey Pearson King, MDNPI 1962446427

Title

Physician,Owner

Phone

(843) 763-6491

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Lowrey Pearson King, M.D.

  • Ophthalmology Physician
  • Charleston, SC
  • NPI 1962446427
  Authorized official Same address or phone
• Kenneth A Sharpe, MD

  • Ophthalmology Physician
  • Charleston, SC
  • NPI 1013023340
  NPD (past)

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1205031234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2057 CHARLIE HALL BLVD",
            "address_2": "SUITE A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145834",
            "telephone_number": "843-763-6491",
            "fax_number": "843-763-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2057 CHARLIE HALL BLVD",
            "address_2": "SUITE A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145834",
            "telephone_number": "843-763-6491",
            "fax_number": "843-763-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RETINA CENTER OF CHARLESTON, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "LOWREY",
        "authorized_official_middle_name": "PEARSON",
        "authorized_official_title_or_position": "PHYSICIAN,OWNER",
        "authorized_official_telephone_number": "843-763-6491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "SC",
            "license": "11997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119972",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Lactation Network, LLC
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• The Pharmacy Club, LLC
• The Sublime Spine, LLC (Health Source of James Island)
• Samantha Jean Theobald, FNP
• Calene Sherrie Theodore
• Therapeutic Intervention Services, Inc.
• Therapy Centers of South Carolina, P.a. (Concentra Medical Center)

• Ophthalmologic Surgery Clinic/Center in Charleston, SC
• Providers in Charleston, SC by specialty
• Ophthalmologic Surgery Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.