NPIMap

Organization Active NPI

Palmetto Eye Specialists, P.a.

  • Ophthalmology Physician
  • Hilton Head Island, SC
National Provider Identifier
1437108404
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
PALMETTO EYE SPECIALISTS, P.A.
Practice address
220 Pembroke Dr
Suite 100
Hilton Head Island, SC 29926-6200
Phone
(843) 785-2525
Fax
(843) 785-5394
NPI assigned
May 8, 2006
Last updated
Feb 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Authorized official

Name
Kenneth Daniel Farr, M.D.NPI 1740366244
Title
Medical Director
Phone
(843) 842-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X
Dermatology Physician 207N00000X
Family Medicine Physician 207Q00000X
Ophthalmology Physician 207W00000X Primary
Hearing Instrument Specialist 237700000X HAS-507 SC
Hearing Instrument Specialist 237700000X HADS-872 GA

Addresses

Primary practice location

220 Pembroke Dr
Suite 100
Hilton Head Island, SC 29926-6200

Mailing address

PO Box 23018
Hilton Head Island, SC 29925-3018
Phone (843) 785-2525

Other identifiers 1

IdentifierTypeStateIssuer
GP2666MedicaidSC

National Provider Directory

National Provider Directory

Locations

4 Dunmore Ct
Ste 300
Hilton Head, SC 29926
Phone (843) 342-9181

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1437108404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23018",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299253018",
            "telephone_number": "843-785-2525",
            "fax_number": "843-785-5394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 PEMBROKE DR",
            "address_2": "SUITE 100",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299266200",
            "telephone_number": "843-785-2525",
            "fax_number": "843-785-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO EYE SPECIALISTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "FARR",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "843-842-2020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "SC",
            "license": "HAS-507",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "GA",
            "license": "HADS-872",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2666",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.