Individual provider Active NPI

Eric Jablon, M.D.

  • Ophthalmology Physician
  • Charleston, SC
National Provider Identifier
1215042569
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
21620 Issued in SC
Practice address
3531 Mary Ader Ave
BLDG. D
Charleston, SC 29414-5896
Phone
(843) 763-4466
Fax
(843) 614-4285
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 21620 SC Primary

Addresses

Primary practice location

3531 Mary Ader Ave
BLDG. D
Charleston, SC 29414-5896

Mailing address

3531 Mary Ader Ave
BLDG D
Charleston, SC 29414-5896
Phone (843) 763-4466

Other identifiers 1

IdentifierTypeStateIssuer
216206MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040312000041 SC Practitioner - Ophthalmology 0244129849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical University of South Carolina College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charleston Neurosciences InstituteGroup PAC ID 1658381819, 9 clinicians

Practice addresses (Care Compare)

3531 Mary Ader Ave
Suite D
Charleston, SC 29414-5896
Phone (843) 763-4466

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Neurosciences Institute Ophthalmology CurrentSince May 15, 2006 Accepting new patients
Charleston Neuroscience Institute LLC CurrentSince May 15, 2006 Accepting new patients
Carolina Cataract and Vision Center Ophthalmology Past Accepting new patients

Locations

1181 Ribaut Rd
#200
Beaufort, SC 29902

3531 Mary Ader Ave
Ste C
Charleston, SC 29414
Phone (843) 556-0608

3531 Mary Ader Ave
Ste D
Charleston, SC 29414

130 S Acline St
Lake City, SC 29560
Phone (843) 374-3277

710 Johnnie Dodds Blvd
Ste 302
Mt Pleasant, SC 29464

Interoperability endpoints

  • Direct secure messaging: ejablon@retinacharleston.intellechartdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1215042569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 MARY ADER AVE",
            "address_2": "BLDG D",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145896",
            "telephone_number": "843-763-4466",
            "fax_number": "843-614-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 MARY ADER AVE",
            "address_2": "BLDG. D",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145896",
            "telephone_number": "843-763-4466",
            "fax_number": "843-614-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABLON",
        "first_name": "ERIC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "21620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216206",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.