Palmetto Vision Center

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PALMETTO VISION CENTER

Practice address

2138 W Palmetto St
Florence, SC 29501-4048

Phone

(843) 662-1989

Fax

(843) 667-8897

NPI assigned

Aug 7, 2007

Last updated

Jun 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David M Andrews, ODNPI 1669465084

Title

Optometrist

Phone

(843) 662-1989

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Lee County Eye Associates, PC

  dba Lee County Eye Associates

  • Optometrist
  • Bishopville, SC
  • NPI 1104018993

  O20031119000134

  Same enrollment

Locations

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.

• David Martin Andrews, OD

  • Optometrist
  • Florence, SC
  • NPI 1669465084
  NPD Authorized official
• Jason C Lee, OD

  • Optometrist
  • Bishopville, SC
  • NPI 1245227321
  NPD

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1336330083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014048",
            "telephone_number": "843-662-1989",
            "fax_number": "843-667-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014048",
            "telephone_number": "843-662-1989",
            "fax_number": "843-667-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "843-662-1989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9740",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palmetto Sleep Lab LLC
• Palmetto Smiles of Florence PA
• Palmetto State Staffing Group, LLC
• Palmetto State Surgical Podiatry Associates
• Palmetto Therapy Group, LLC
• Palmetto Wellness & Injury Center Inc.
• Palmetto Women's Care, LLC
• Gregory Palutsis, MD
• Amit V. Pande, M.D.
• Meenakshi A Pande, MD

• Optometrist in Florence, SC
• Providers in Florence, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.