Skufca Enterprises LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

26982 Issued in SC

Legal business name

SKUFCA ENTERPRISES LLC

Doing business as

Camden Optical Shop

Practice address

615 Laurens St
Camden, SC 29020

Phone

(803) 432-6765

Fax

(803) 432-8441

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Daniel W Skufca, MDNPI 1336264522

Title

President

Phone

(803) 432-9874

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Camden Optical Shop Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

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

Locations

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.

• Daniel W Skufca, MD

  • Ophthalmology Physician
  • Camden, SC
  • NPI 1336264522
  NPD Authorized official

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1467594408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 LAURENS ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "29020",
            "telephone_number": "803-432-6765",
            "fax_number": "803-432-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 LAURENS ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "29020",
            "telephone_number": "803-432-6765",
            "fax_number": "803-432-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKUFCA ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "SKUFCA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-432-9874",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "596",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "26982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "471678",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camden Optical Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angie Marie Shirley
• Sandra Lee Siegfried, CPSS
• Cassandra B. Sims, LMSW
• Abhijit Singh, MD
• Michael Singleton, MSW, LISW-CP/S
• Daniel W Skufca, MD
• James D Smith, D.C.
• Pamela Cain Smith, LMSW
• Taylor Smith
• SNH SC Tenant LLC (Morningside of Camden)

• Ophthalmology Physician in Camden, SC
• Providers in Camden, SC by specialty
• Ophthalmology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.