Organization Active NPI

Carolina Cornea and Laser Center

  • Ophthalmology Physician
  • Greenville, SC
National Provider Identifier
1457568040
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
14400 Issued in SC
Legal business name
CAROLINA CORNEA AND LASER CENTER
Practice address
121 Halton Village Cir
Greenville, SC 29607-6825
Phone
(864) 286-3700
Fax
(864) 286-6003
NPI assigned
May 16, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Anne V Parker, MDNPI 1225074396
Title
Physician
Phone
(864) 286-3700

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

Practitioners 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Carolina Cornea and Laser Center121 Halton Village Cir, Greenville, SC 29607-6825(864) 286-3700 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Oct 16, 1998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930028325 SC DME Supplier - Physician - OphthalmologyDME Supplier - Optician 7012038516 Practice locations: Greenville, SC
O20130606000578 SC Part B Supplier - Clinic/Group Practice 7012038516 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, SC

National Provider Directory

National Provider Directory

Locations

121 Halton Village Cir
Greenville, SC 29607
Phone (864) 286-3700

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 14400 SC Primary

Addresses

NPPES NPI Registry

Primary practice location

121 Halton Village Cir
Greenville, SC 29607-6825

Mailing address

200 Patewood Dr
Suite B180
Greenville, SC 29615-6316
Phone (864) 286-3700

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
144007MedicaidSC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 23, 2023.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1457568040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PATEWOOD DR",
            "address_2": "SUITE B180",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156316",
            "telephone_number": "864-286-3700",
            "fax_number": "864-286-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 HALTON VILLAGE CIR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076825",
            "telephone_number": "864-286-3700",
            "fax_number": "864-286-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CORNEA AND LASER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "864-286-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "14400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144007",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.

Verify at the official NPI Registry.