Individual provider Active NPI

Denise W Carter, OD

  • Optometrist
  • Ladys Island, SC
National Provider Identifier
1356301956
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SC 1022 Issued in SC
Practice address
33 Kemmerlin LN
Ladys Island, SC 29907-2702
Phone
(843) 521-2020
Fax
(843) 524-7559
NPI assigned
Mar 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X SC 1022 SC Primary

Addresses

Primary practice location

33 Kemmerlin LN
Ladys Island, SC 29907-2702

Mailing address

Sungate Medical Group LLC
10 William Pope Drive
Bluffton, SC 29909-7549
Phone (843) 842-2020

Other identifiers 1

IdentifierTypeStateIssuer
D10227MedicaidSC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070621000138 SC Practitioner - Optometry 0143329854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Eyecare Physicians LLCGroup PAC ID 9638070436, 27 clinicians

Practice addresses (Care Compare)

10 William Pope Dr
Suite 6
Bluffton, SC 29909-7550
Phone (888) 856-1878

Merit-based Incentive Payment System (MIPS)

Final score
93.63 of 100Reported as individual
Quality
88.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC 1022SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Eyecare Physicians LLC CurrentSince Jan 17, 2022 Accepting new patients
Carolina Eyecare Physicians, LLC Past Accepting new patients

Locations

10 William Pope Dr
Ste 6
Bluffton, SC 29909
Phone (843) 705-1524

10 William Pope Dr
Bluffton, SC 29909
Phone (843) 705-1526

2060 Charlie Hall Blvd
Ste 201
Charleston, SC 29414
Phone (843) 571-7337

33 Kemmerlin Ln
Ladys Island, SC 29907
Phone (843) 521-2020

2861 Tricom St
North Charleston, SC 29406
Phone (843) 725-0064

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1356301956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SUNGATE MEDICAL GROUP LLC",
            "address_2": "10 WILLIAM POPE DRIVE",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299097549",
            "telephone_number": "843-842-2020",
            "fax_number": "843-705-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 KEMMERLIN LN",
            "city": "LADYS ISLAND",
            "state": "SC",
            "postal_code": "299072702",
            "telephone_number": "843-521-2020",
            "fax_number": "843-524-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "DENISE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "SC 1022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D10227",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladys Island, SC

Sources for this page

Verify at the official NPI Registry.