NPIMap

Organization Active NPI

Lowcountry Eye Care of Mt Pleasant, LLC

Doing business as Lowcountry Eye Care

  • Optometrist
  • Mount Pleasant, SC
National Provider Identifier
1306314562
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LOWCOUNTRY EYE CARE OF MT PLEASANT, LLC
Doing business as
Lowcountry Eye Care
Practice address
855 Houston Northcutt Blvd
Mount Pleasant, SC 29464-3446
Phone
(843) 797-1264
NPI assigned
Nov 6, 2018
Last updated
Nov 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Authorized official

Name
Dr. Francis Weston Shealy III, ODNPI 1891780508
Title
Member
Phone
(813) 431-6889

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
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

855 Houston Northcutt Blvd
Mount Pleasant, SC 29464-3446

Mailing address

1251 Savannah Hwy
Charleston, SC 29407-7826
Phone (813) 431-6889

Other names 1

  • Lowcountry Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190524000036 SC Part B Supplier - Clinic/Group Practice 4587907035 Receives reassigned benefits from 6 practitioners
Practice locations: Mt Pleasant, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1306314562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 SAVANNAH HWY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077826",
            "telephone_number": "813-431-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 HOUSTON NORTHCUTT BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643446",
            "telephone_number": "843-797-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWCOUNTRY EYE CARE OF MT PLEASANT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "SHEALY",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "WESTON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "813-431-6889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lowcountry Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.