Active NPI
Enoch N Tsai, MD PA 111 Gregg Ave
- Ophthalmology Physician
- Aiken, SC
National Provider Identifier
1417011586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 7950
- Legal business name
- ENOCH N TSAI, MD PA 111 GREGG AVE
- Practice address
- 111 Gregg Ave
Aiken, SC 29801-2797 - Phone
- (803) 649-7991
- Fax
- (803) 649-7633
- NPI assigned
- Dec 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Enoch Tsai, M.D.
- Title
- President
- Phone
- (803) 649-7991
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 7950 | SC | Primary |
Addresses
Primary practice location
111 Gregg Ave
Aiken, SC 29801-2797
Mailing address
111 Gregg Ave
Aiken, SC 29801-2797
Phone (803) 649-7991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP3733 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
111 Gregg Ave NW
Aiken, SC 29801
Phone (706) 426-7342
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Temple, TX
- NPI 1851368286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292889600000",
"number": "1417011586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 GREGG AVE",
"city": "AIKEN",
"state": "SC",
"postal_code": "298012797",
"telephone_number": "803-649-7991",
"fax_number": "803-649-7633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 GREGG AVE",
"city": "AIKEN",
"state": "SC",
"postal_code": "298012797",
"telephone_number": "803-649-7991",
"fax_number": "803-649-7633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENOCH N TSAI, MD PA 111 GREGG AVE",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-21",
"last_updated": "2010-12-21",
"status": "A",
"authorized_official_last_name": "TSAI",
"authorized_official_first_name": "ENOCH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "803-649-7991",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "SC",
"license": "7950",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP3733",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.