Organization Active NPI

Mt Pleasant Ophthalmology

  • Ophthalmology Physician
  • Mount Pleasant, SC
National Provider Identifier
1346267945
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MT PLEASANT OPHTHALMOLOGY
Practice address
1705 Beaucastel Rd
Mt Pleasant, SC 29464-3657
Phone
(843) 884-2015
Fax
(843) 881-7068
NPI assigned
Jul 17, 2006
Last updated
Nov 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Authorized official

Name
Diana M McMillan
Title
Office Manager
Phone
(843) 884-2015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

1705 Beaucastel Rd
Mt Pleasant, SC 29464-3657

Mailing address

1705 Beaucastel Rd
Mt Pleasant, SC 29464-3657
Phone (843) 884-2015

Other identifiers 1

IdentifierTypeStateIssuer
3030MedicaidSC

National Provider Directory

National Provider Directory

Locations

1156 Bowman Rd
Ste 104
Mt Pleasant, SC 29464
Phone (843) 884-2015

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1346267945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 BEAUCASTEL RD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643657",
            "telephone_number": "843-884-2015",
            "fax_number": "843-881-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 BEAUCASTEL RD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643657",
            "telephone_number": "843-884-2015",
            "fax_number": "843-881-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT PLEASANT OPHTHALMOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-884-2015"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3030",
            "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 Nov 10, 2008; 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.