Palmetto Eyecare, P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

553 Issued in SC

Legal business name

PALMETTO EYECARE, P.A.

Practice address

1001 S Main St
Greenwood, SC 29646-3230

Phone

(864) 388-2020

Fax

(864) 229-5573

NPI assigned

Jan 22, 2007

Last updated

Oct 4, 2016By 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. Kenneth Mack Nash, ODNPI 1922061209

Title

President

Phone

(864) 388-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Kenneth Mack Nash, O D

  • Optometrist
  • Greenwood, SC
  • NPI 1922061209
  Authorized official Same address or phone

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1245384726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MAIN ST S",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463230",
            "telephone_number": "864-388-2020",
            "fax_number": "864-229-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S MAIN ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463230",
            "telephone_number": "864-388-2020",
            "fax_number": "864-229-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO EYECARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "MACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-388-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9913",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Owens
• James Graham Padgett Jr., DMD
• John Cenarosa Paguntalan, NP
• Pain Management Associates
• Pain Management Associates
• Palmetto Medical Rehabilitation
• Palmetto Ortho & Sports Rehab
• Palmetto Pediatric Therapy, Inc.
• Raymond Papke
• Jennifer Parker, MA

• Optometrist in Greenwood, SC
• Providers in Greenwood, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.