Charlestoneye PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1029 Issued in SC

Legal business name

CHARLESTONEYE PA

Practice address

3531 Mary Ader Ave
Suite B
Charleston, SC 29414-5896

Phone

(843) 577-2047

Fax

(843) 577-0640

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Patrick W Smith, ODNPI 1285794156

Title

Doctor

Phone

(843) 577-2047

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.

• Patrick W Smith, O.D.

  • Optometrist
  • Charleston, SC
  • NPI 1285794156
  NPD (past) Authorized official
• Robert Lopanik, O.D.

  • Sports Vision Optometrist
  • Charleston, SC
  • NPI 1093878001
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255533709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909A ASHLEY RIVER RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074712",
            "telephone_number": "843-577-2047",
            "fax_number": "843-577-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 MARY ADER AVE",
            "address_2": "SUITE B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145896",
            "telephone_number": "843-577-2047",
            "fax_number": "843-577-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTONEYE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "843-577-2047",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D10290",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charleston Vamc
• Charleston Vision Center
• Charleston Wellness Clinic LLC
• Charleston Women'S Therapy
• Charleston Womens Wellness Center, LLC
• Charlestowne Internal Medicine
• Paige Chase, MD
• Joseph Arthur Chasen, DO
• Misty Love Chastain, PAC
• Hina Chaudhry, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.