Organization Active NPI

Infinity Eye Care

  • Optometrist
  • Charleston, SC
National Provider Identifier
1265667372
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1442 Issued in SC
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

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
Dr. Michael ZolmanNPI 1902942444
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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
DA9635MedicaidSC
DP5026OtherSCRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090805000702 SC Part B Supplier - Clinic/Group Practice 0941353130 Receives reassigned benefits from 1 practitioner
Practice locations: Charleston, SC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.