Active NPI
Perin W Diana Jr., MD
- Ophthalmology Physician
- Varnville, SC
National Provider Identifier
1295791598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 20809
- Practice address
- 1000 Pine Street
Varnville, SC 29944-0969 - Phone
- (803) 943-5228
- Fax
- (803) 943-4591
- NPI assigned
- Apr 25, 2006
- Last updated
- Oct 13, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 20809 | SC | Primary |
Addresses
Primary practice location
1000 Pine Street
Varnville, SC 29944-0969
Mailing address
55 Meriden Ave
Ste 2D
Southington, CT 06489-3235
Phone (843) 726-6509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Perelman School of Med at the University of Pennsylvania, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1664 Ribaut Rd
Port Royal, SC 29935-1708
Phone (843) 522-8466
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20809 | SC | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaufort Eye Optical | Ophthalmology | Current | Accepting new patients |
| Sungate Medical Group LLC | Ophthalmology | Past | Accepting new patients |
| Palmetto Eye Specialists, P.a. | Ophthalmology | Past | Accepting new patients |
| University Medical Associates of the Medical University of South Carol | Past | Accepting new patients |
Locations
1664 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-8466
Interoperability endpoints
- pdiana@bec.intellechartdirect.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- NPI 1831962695
-
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- NPI 1437108404
-
- Ophthalmology Physician
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- NPI 1114322336
-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476316800000",
"number": "1295791598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 MERIDEN AVE",
"address_2": "STE 2D",
"city": "SOUTHINGTON",
"state": "CT",
"postal_code": "064893235",
"telephone_number": "843-726-6509",
"fax_number": "843-726-6809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 PINE STREET",
"city": "VARNVILLE",
"state": "SC",
"postal_code": "299440969",
"telephone_number": "803-943-5228",
"fax_number": "803-943-4591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIANA",
"first_name": "PERIN",
"middle_name": "W",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2016-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "SC",
"license": "20809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Varnville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.