Physicians Eye Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

ASF097 Issued in SC

Legal business name

PHYSICIANS EYE SURGERY CENTER LLC

Doing business as

Physicians' Eye Surgery Center

Practice address

2060 Charlie Hall Blvd
Suite 301
Charleston, SC 29414

Phone

(843) 571-4800

Fax

(843) 763-7621

NPI assigned

Sep 27, 2006

Last updated

Sep 2, 2020By 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. John GP Boatwright, MDNPI 1285657908

Title

Physician Board of Directors Presid

Phone

(843) 571-4800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Physicians' Eye Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Listed as

Physicians Eye Surgery CenterCCN 42C0001065

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• John G Boatwright, MD

  • Ophthalmology Physician
  • Charleston, SC
  • NPI 1285657908
  Authorized official Same address or phone

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1346331329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 CHARLIE HALL BLVD",
            "address_2": "SUITE 301",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29414",
            "telephone_number": "843-571-4800",
            "fax_number": "843-763-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 CHARLIE HALL BLVD",
            "address_2": "SUITE 301",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29414",
            "telephone_number": "843-571-4800",
            "fax_number": "843-763-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS EYE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "BOATWRIGHT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GP",
        "authorized_official_title_or_position": "PHYSICIAN BOARD OF DIRECTORS PRESID",
        "authorized_official_telephone_number": "843-571-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "SC",
            "license": "ASF097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ASC063",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians' Eye Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Summar Christian Phillips, M.D.
• Tawana Faye Philpott, LMSW
• Erin Lee Phlegar, PA-C
• Phoenix Counseling and Wellness Center LLC
• Phoenix Counseling Center LLC
• Andrew James Picca, D.O.
• Katelyn Pickrell
• Ralph Bernard Piening III, MD
• Bailey Rebecca Pierce, BCABA
• Christopher L Pierce

• Ambulatory Surgical Clinic/Center in Charleston, SC
• Providers in Charleston, SC by specialty
• Ambulatory Surgical Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.