NPIMap

Organization Active NPI

Carolina Eye Cataract & Laser, Inc

  • Ophthalmology Physician
  • Rock Hill, SC
National Provider Identifier
1437370657
Registry record updated May 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
222281 Issued in SC
Legal business name
CAROLINA EYE CATARACT & LASER, INC
Practice address
410 S Herlong Ave Ste 103
Rock Hill, SC 29732-8350
Phone
(803) 985-3937
Fax
(803) 985-3922
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2021

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

Authorized official

Name
Dr. David Brian Nelson, MDNPI 1760441240
Title
President
Phone
(803) 524-8953

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 222281 SC Primary

Addresses

Primary practice location

410 S Herlong Ave Ste 103
Rock Hill, SC 29732-8350

Mailing address

410 S Herlong Ave Ste 103
Rock Hill, SC 29732-8350
Phone (803) 985-3937

Other identifiers 5

IdentifierTypeStateIssuer
GP4138MedicaidSC
222814MedicaidSC
1821218835OtherNPI DR BONITA MILES MACK
1710092309OtherNIMA MAZHARI, OD NPI #
1760441240OtherDAVID B NELSON NPI

Other names 2

  • Carolina Eyecare Center Former legal business name
  • Eye Center of the Carolinas, LLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Direct@CarolinaEyeCareCenterRockHillSC.CompulinkDirect.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: direct@carolinaeyecarecenterrockhillsc.compulinkdirect.com

Practitioners & affiliated clinicians

Practitioners 1

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": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621036800000",
    "number": "1437370657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S HERLONG AVE STE 103",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297328350",
            "telephone_number": "803-985-3937",
            "fax_number": "803-985-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S HERLONG AVE STE 103",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297328350",
            "telephone_number": "803-985-3937",
            "fax_number": "803-985-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA EYE CATARACT & LASER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2021-05-15",
        "certification_date": "2021-05-15",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-524-8953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "222281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4138",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222814",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR BONITA MILES MACK",
            "identifier": "1821218835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NIMA MAZHARI, OD  NPI #",
            "identifier": "1710092309",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVID B NELSON NPI",
            "identifier": "1760441240",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Direct@CarolinaEyeCareCenterRockHillSC.CompulinkDirect.com",
            "affiliation": "N",
            "endpointDescription": "DIRECT EMAIL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "UNKNOWN",
            "address_1": "410 S Herlong Ave Ste 103",
            "city": "Rock Hill",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297328350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Carolina Eyecare Center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Eye Center of the Carolinas, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2021; 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.