Active NPI
Carolina Eyecare Physicians, LLC
- Eyewear Supplier
- Charleston, SC
National Provider Identifier
1417768797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- CAROLINA EYECARE PHYSICIANS, LLC
- Practice address
- 1739 Sam Rittenberg Blvd
Charleston, SC 29407-4927 - Phone
- (843) 625-6458
- NPI assigned
- Jan 16, 2025
- 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
- Michael Patrick Ames
- Title
- Chief Financial Office
- Phone
- (941) 488-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
1739 Sam Rittenberg Blvd
Charleston, SC 29407-4927
Mailing address
PO Box 117556
Atlanta, GA 30368-7556
Phone (888) 856-1878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251117003812 | SC | DME Supplier - Physician - Optometrist | 9638070436 | Practice locations: Charleston, SC |
Other NPIs with the same Medicare PAC ID 6
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Carolina Eyecare Physicians LLC | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Carolina Eyecare Phys LLC
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- Mount Pleasant, SC
- NPI 1255904538
-
- Eyewear Supplier
- Moncks Corner, SC
- NPI 1598618985
-
- Eyewear Supplier
- North Charleston, SC
- NPI 1578589289
-
- Eyewear Supplier
- Charleston, SC
- NPI 1669493896
-
- Eyewear Supplier
- Walterboro, SC
- NPI 1790706927
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736985600000",
"number": "1417768797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 117556",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303687556",
"telephone_number": "888-856-1878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1739 SAM RITTENBERG BLVD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074927",
"telephone_number": "843-625-6458"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA EYECARE PHYSICIANS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-16",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A",
"authorized_official_last_name": "AMES",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "PATRICK",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICE",
"authorized_official_telephone_number": "941-488-2020"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.