Pisgah Eye Surgeons LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PISGAH EYE SURGEONS LLC

Practice address

10 Enterprise Blvd Ste 208
Greenville, SC 29615-3554

Phone

(864) 254-6070

Fax

(864) 254-6182

NPI assigned

Feb 13, 2025

Organization subpart

No

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

Authorized official

Name

Benjamin David Wilson, MDNPI 1235663204

Title

Ophthalmologist

Phone

(352) 283-9172

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin David Wilson, MD

  • Ophthalmology Physician
  • Asheville, NC
  • NPI 1235663204

  SC

  Medicare reassignment Care Compare group NPD Authorized official
• Nicholas A Baughman, OD

  • Optometrist
  • Greenville, SC
  • NPI 1497105357
  Medicare reassignment Care Compare group NPD
• Michael S Phillips, MD

  • Ophthalmology Physician
  • Greenville, SC
  • NPI 1124077490
  Medicare reassignment Care Compare group NPD
• Mary Kate Wilson, MD

  • Ophthalmology Physician
  • St Augustine, FL
  • NPI 1750910949

  SC

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1285449496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ENTERPRISE BLVD STE 208",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153554",
            "telephone_number": "864-254-6070",
            "fax_number": "864-254-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ENTERPRISE BLVD STE 208",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153554",
            "telephone_number": "864-254-6070",
            "fax_number": "864-254-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PISGAH EYE SURGEONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "352-283-9172",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vitaliy V. Pipenko Jr., APRN
• Sarah Piraino, PHARMD
• Sarah Pirkle
• Christopher J Pirko, M.D.
• Ronald Gerard Pirrallo, MD
• Antonia Pitalo, P.T.
• Alyssa K Pittman
• Isabella Pittman
• Joshua Pittman, RD
• Kristen Pittman

• Ophthalmology Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Ophthalmology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.