Active NPI
Eric Jablon, M.D.
- Ophthalmology Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 21620
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 216206 | Medicaid | SC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Institute
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 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Neurosciences Institute | Ophthalmology | Current | Accepting new patients |
| Charleston Neuroscience Institute LLC | Current | 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
- 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.
-
- Ophthalmology Physician
- Charleston, SC
- NPI 1225094600
Ophthalmology, SC
-
- Oxygen Equipment & Supplies (DME)
- Mount Pleasant, SC
- NPI 1033359294
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.