Individual provider Active NPI

Cynthia G Charnetski, OD

  • Optometrist
  • Hilton Head Island, SC
National Provider Identifier
1457463275
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2499 Issued in SC
Practice address
220 Pembroke Dr Ste 100
Hilton Head Island, SC 29926-6200
Phone
(843) 785-2525
Fax
(843) 705-1512
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000426 PA
Optometrist 152W00000X 2499 SC Primary

Addresses

Primary practice location

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

Mailing address

PO Box 117556
Atlanta, GA 30368-7556
Phone (843) 521-2020

Other identifiers 7

IdentifierTypeStateIssuer
001863967MedicaidPA
D24999MedicaidSC
817504OtherFIRST PRIORITY HEALTH
1318122OtherHIGH MARK BLUE SHIELD
83571OtherGEISINGER HEALTH PLAN
P00212048OtherRAILROAD MEDICARE
506554OtherAETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ccharnetski@useye.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241009003481 SC Practitioner - Optometry 5698763654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Eyecare Physicians LLCGroup PAC ID 9638070436, 27 clinicians

Practice addresses (Care Compare)

33 Kemmerlin LN
Beaufort, SC 29907-2702
Phone (888) 856-1878

Merit-based Incentive Payment System (MIPS)

Final score
90.66 of 100Reported as group
Quality
96.55
Promoting interoperability
96
Improvement activities
40
Cost
75.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Sight, PL Optometrist Current Accepting new patients
Carolina Eyecare Physicians LLC CurrentSince Oct 28, 2024 Accepting new patients
Durriya S Esaa Past Accepting new patients
Carolina Eyecare Physicians, LLC Past Accepting new patients

Locations

2060 Charlie Hall Blvd
Ste 201
Charleston, SC 29414
Phone (843) 571-7337

220 Pembroke Dr
Ste 100
Hilton Head Island, SC 29926
Phone (843) 785-2525

33 Kemmerlin Ln
Ladys Island, SC 29907
Phone (843) 521-2020

2861 Tricom St
North Charleston, SC 29406
Phone (843) 725-0064

Interoperability endpoints

  • Direct secure messaging: ccharnetski@useye.intellechartdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1457463275",
    "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": "843-521-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 PEMBROKE DR STE 100",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299266200",
            "telephone_number": "843-785-2525",
            "fax_number": "843-705-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARNETSKI",
        "first_name": "CYNTHIA",
        "middle_name": "G",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000426",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001863967",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D24999",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "817504",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGH MARK BLUE SHIELD",
            "identifier": "1318122",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "83571",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00212048",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "506554",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccharnetski@useye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "220 Pembroke Dr Ste 100",
            "city": "Hilton Head Island",
            "state": "SC",
            "country_code": "US",
            "postal_code": "299266200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

Verify at the official NPI Registry.