Palmetto Vision Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

1166 Issued in SC

Legal business name

PALMETTO VISION INC

Practice address

3951 W Ashley Cir
Charleston, SC 29414-9156

Phone

(843) 852-0075

Fax

(843) 852-0600

NPI assigned

Dec 27, 2007

Organization subpart

No

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

Authorized official

Name

Robert Aitken, OD

Title

Owner

Phone

(843) 852-0075

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Dr. RP Aitken & Associates Former legal business name

Locations

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1356525273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80249",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294160249",
            "telephone_number": "843-852-0075",
            "fax_number": "843-852-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3951 W ASHLEY CIR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294149156",
            "telephone_number": "843-852-0075",
            "fax_number": "843-852-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "AITKEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-852-0075",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9651",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9712",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9652",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DQ7346",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. RP Aitken & Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Palmetto Spine & Sports Medicine, P.a.
• Palmetto Spine & Sports Medicine, PA
• Palmetto State Pharmaceuticals Inc
• Palmetto Vein Specialists, LLC
• Palmetto Vision Care LLC
• Katarina Palmman, MS, RD, LD
• Jose Emmanuel Palo
• Ann Kopera Panaccione, DO
• Simmy Panchal, OD
• Samantha Kaye Pande, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.