Active NPI
Infinity Eye Care
- Optometrist
- Charleston, SC
National Provider Identifier
1265667372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1442
- Legal business name
- INFINITY EYE CARE
- Practice address
- 325 Folly Rd
Suite 109
Charleston, SC 29412-2507 - Phone
- (865) 300-1670
- NPI assigned
- May 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Zolman
- Title
- Owner/Ceo
- Phone
- (843) 795-6464
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1442 | SC | Primary |
Addresses
Primary practice location
325 Folly Rd
Suite 109
Charleston, SC 29412-2507
Mailing address
325 Folly Rd
Suite 109
Charleston, SC 29412-2507
Phone (843) 795-6464
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA9635 | Medicaid | SC | |
| DP5026 | Other | SC | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
325 Folly Rd
Ste 109
Charleston, SC 29412
Phone (843) 795-6464
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Charleston, SC
- NPI 1902942444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276646400000",
"number": "1265667372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 FOLLY RD",
"address_2": "SUITE 109",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294122507",
"telephone_number": "843-795-6464",
"fax_number": "843-795-6433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 FOLLY RD",
"address_2": "SUITE 109",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294122507",
"telephone_number": "865-300-1670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFINITY EYE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-18",
"last_updated": "2010-06-16",
"status": "A",
"authorized_official_last_name": "ZOLMAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "843-795-6464",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "SC",
"license": "1442",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DA9635",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DP5026",
"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 Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.