Look of South Carolina PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

LOOK OF SOUTH CAROLINA PA

Practice address

710 Hopewell Dr Ste 106
Charleston, SC 29492-7108

Phone

(480) 580-6671

NPI assigned

Apr 5, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Chad Allen Carlsson, ODNPI 1508853904

Title

Owner & Managing Member

Phone

(843) 543-6333

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chad A Carlsson, OD

  • Optometrist
  • Loris, SC
  • NPI 1508853904
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1376284299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 HOPEWELL DR STE 106",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294927108",
            "telephone_number": "843-543-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 HOPEWELL DR STE 106",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294927108",
            "telephone_number": "480-580-6671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 Prince St",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "SC",
            "postal_code": "294403551",
            "country_code": "US",
            "telephone_number": "843-543-6333",
            "fax_number": "843-543-6332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOOK OF SOUTH CAROLINA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "CARLSSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER & MANAGING MEMBER",
        "authorized_official_telephone_number": "843-543-6333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF SOUTH CAROLINA",
            "identifier": "2242",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Long Jr., M.D.
• Jennifer Nicole Longoria, PH.D.
• Longs Drugstores of SC Inc
• Grant Lonneman
• Christina Lonyo
• Looking Glass
• Rebecca Elizabeth Looney, PA-C
• James Michael Looper, M.D.
• Robert Lopanik, O.D.
• Maria F Lopes-Virella, MD

• 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 May 29, 2024; 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.