Active NPI
Joseph M Pitcavage, DOCTOR OF OPTOMETRY
- Optometrist
- Mount Pleasant, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1374
- Practice address
- 730 Coleman Blvd
Mt Pleasant, SC 29464-4053 - Phone
- (843) 870-4073
- Fax
- (843) 471-2022
- NPI assigned
- Jul 18, 2006
- Last updated
- Dec 29, 2017
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1374 | SC | Primary |
Addresses
Primary practice location
730 Coleman Blvd
Mt Pleasant, SC 29464-4053
Mailing address
650 Pawley Rd
Mount Pleasant, SC 29464-3566
Phone (843) 870-4073
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D13741 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
102 Greenland Dr
Goose Creek, SC 29445-5353
Phone (843) 797-1264
855 Houston Northcutt Blvd
Mt Pleasant, SC 29464-3446
Phone 80096936661431
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avondale Eye Care | Optometrist | Current | Accepting new patients |
| Lowcountry Eye Care of Goose Creek | Optometrist | Current | Accepting new patients |
| Lowcountry Eye Care of Cane Bay, LLC | Optometrist | Current | Accepting new patients |
| Coastal Eye Care of Charleston, LLC | Optometrist | Past | Accepting new patients |
| Bella Eye Care Inc. | Optometrist | Past | Accepting new patients |
| Coastal Eye Care of James Island | Optometrist | Past | Accepting new patients |
| Coastal Eye Care of Daniel Island | Optometrist | Past | Accepting new patients |
| Primary Care Optometry | Past | Accepting new patients |
Locations
12 Farmfield Ave
Ste C
Charleston, SC 29407
Phone (843) 763-2270
102 Greenland Dr
Goose Creek, SC 29445
Phone (843) 797-1264
1718 State Rd
Ste 8D
Summerville, SC 29486
Phone (843) 797-1264
174 Beauregard Rd
Summerville, SC 29486
Phone (843) 821-0261
Organizations & group practices 10
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.
-
- Optometrist
- Goose Creek, SC
- NPI 1336440668
-
- Optometrist
- Charleston, SC
- NPI 1285807131
-
dba Lowcountry Eye Care
- Optometrist
- Mount Pleasant, SC
- NPI 1306314562
-
dba Lowcountry Eye Care
- Optometrist
- Summerville, SC
- NPI 1700319282
-
- Optometrist
- Mount Pleasant, SC
- NPI 1306016589
-
- Optometrist
- North Charleston, SC
- NPI 1386854966
-
- Optometrist
- Charleston, SC
- NPI 1760500524
-
- Optometrist
- Charleston, SC
- NPI 1053537068
-
- Optometrist
- Charleston, SC
- NPI 1558806414
-
- Eyewear Supplier
- Mount Pleasant, SC
- NPI 1841597408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514505600000",
"number": "1336167279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 PAWLEY RD",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643566",
"telephone_number": "843-870-4073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 COLEMAN BLVD",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294644053",
"telephone_number": "843-870-4073",
"fax_number": "843-471-2022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITCAVAGE",
"first_name": "JOSEPH",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DOCTOR OF OPTOMETRY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2017-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1374",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D13741",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
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 Dec 29, 2017; 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.