Active NPI
Eye Associates of South Carolina, LLP
- Ophthalmology Physician
- Myrtle Beach, SC
National Provider Identifier
1295827160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 6892
- Legal business name
- EYE ASSOCIATES OF SOUTH CAROLINA, LLP
- Practice address
- 900 Medical Cir
Myrtle Beach, SC 29572-4114 - Phone
- (843) 449-6414
- Fax
- (843) 497-0357
- NPI assigned
- Sep 29, 2006
- 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. Thomas A. Whitaker, M.D.
- Title
- Partner
- Phone
- (843) 449-6414
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 6892 | SC | Primary |
Addresses
Primary practice location
900 Medical Cir
Myrtle Beach, SC 29572-4114
Mailing address
900 Medical Cir
Myrtle Beach, SC 29572-4114
Phone (843) 449-6414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA 2817 | Medicaid | SC |
Other names 1
- Eastern Carolina Regional Eye Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227052800000",
"number": "1295827160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 MEDICAL CIR",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724114",
"telephone_number": "843-449-6414",
"fax_number": "843-497-0357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 MEDICAL CIR",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724114",
"telephone_number": "843-449-6414",
"fax_number": "843-497-0357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE ASSOCIATES OF SOUTH CAROLINA, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-29",
"last_updated": "2008-11-19",
"status": "A",
"authorized_official_last_name": "WHITAKER",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "843-449-6414",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "SC",
"license": "6892",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PA 2817",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Eastern Carolina Regional Eye Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.