NPIMap

Organization Active NPI

Ophthalmology Associates of Charleston

  • Ophthalmology Physician
  • Charleston, SC
National Provider Identifier
1447314224
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
5618 Issued in SC
Legal business name
OPHTHALMOLOGY ASSOCIATES OF CHARLESTON
Practice address
9304 Medical Plaza Dr Ste D
Charleston, SC 29406-9143
Phone
(843) 820-2020
Fax
(843) 797-5512
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sidney Marvin Seltzer, M.D.NPI 1376732826
Title
Medical Director
Phone
(843) 820-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 5618 SC Primary

Addresses

Primary practice location

9304 Medical Plaza Dr Ste D
Charleston, SC 29406-9143

Mailing address

9304 Medical Plaza Dr Ste D
Charleston, SC 29406-9143
Phone (843) 820-2020

Other names 1

  • Seltzer Laser Center Doing business as

National Provider Directory

National Provider Directory

Locations

9304 Medical Plaza Dr
Ste C1
North Charleston, SC 29406

1180 Boulevard St
Ste B
Orangeburg, SC 29115
Phone (803) 928-5500

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447314224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9304 MEDICAL PLAZA DR STE D",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069143",
            "telephone_number": "843-820-2020",
            "fax_number": "843-797-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9304 MEDICAL PLAZA DR STE D",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069143",
            "telephone_number": "843-820-2020",
            "fax_number": "843-797-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMOLOGY ASSOCIATES OF CHARLESTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SELTZER",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "MARVIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "843-820-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "5618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seltzer Laser Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.