Active NPI
Stokes Regional Eye Center
- Ophthalmology Physician
- Marion, SC
National Provider Identifier
1336137751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- STOKES REGIONAL EYE CENTER
- Practice address
- 3032 E Highway 76
Marion, SC 29571 - Phone
- (843) 464-7097
- Fax
- (843) 464-9667
- NPI assigned
- Oct 10, 2005
- 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
- Isam J Zakhour, M.D.
- Title
- Managing Partner
- Phone
- (843) 669-4156
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
3032 E Highway 76
Marion, SC 29571
Mailing address
PO Box 100534
Florence, SC 29501-0534
Phone (843) 669-4156
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP2643 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040129000717 | SC | Part B Supplier - Clinic/Group Practice | 0345143186 |
Receives reassigned benefits from 8 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Florence, SC; Sumter, SC |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1336137751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100534",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295010534",
"telephone_number": "843-669-4156",
"fax_number": "843-664-0962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3032 E HIGHWAY 76",
"city": "MARION",
"state": "SC",
"postal_code": "29571",
"telephone_number": "843-464-7097",
"fax_number": "843-464-9667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STOKES REGIONAL EYE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ZAKHOUR",
"authorized_official_first_name": "ISAM",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "843-669-4156",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP2643",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marion, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.