Organization Active NPI

Palmetto Vision Care LLC

  • Optometrist
  • Charleston, SC
National Provider Identifier
1326243924
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1261 Issued in SC
Legal business name
PALMETTO VISION CARE LLC
Practice address
88 Folly Road Blvd
Charleston, SC 29407-7551
Phone
(843) 573-9944
Fax
(843) 573-9969
NPI assigned
Jun 15, 2007
Last updated
Sep 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Authorized official

Name
Dr. Michael Z Morabito, ODNPI 1265495220
Title
Owner
Phone
(843) 573-9944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1261 SC Primary

Addresses

Primary practice location

88 Folly Road Blvd
Charleston, SC 29407-7551

Mailing address

88 Folly Road Blvd
Charleston, SC 29407-7551
Phone (843) 573-9944

Other identifiers 3

IdentifierTypeStateIssuer
E1473OtherSCMEDCOST
U952847884OtherSCINSTILL HEALTH INSURANCE
922OtherSCBLUE CHOICE HEALTH PLAN

Other names 1

  • Mobile Eye care LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

3050 Ashley Town Center Dr
Unit 3B
Charleston, SC 29414
Phone (843) 460-2001

3750 Savannah Hwy
Ste I
Johns Island, SC 29455
Phone (843) 573-9944

Practitioners & affiliated clinicians

Practitioners 2

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": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1326243924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 FOLLY ROAD BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077551",
            "telephone_number": "843-573-9944",
            "fax_number": "843-573-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 FOLLY ROAD BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077551",
            "telephone_number": "843-573-9944",
            "fax_number": "843-573-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO VISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "MORABITO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-573-9944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "E1473",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSTILL HEALTH INSURANCE",
            "identifier": "U952847884",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE HEALTH PLAN",
            "identifier": "922",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Eye care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Mobile Eye care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.