Individual provider Active NPI

John C Kulze III, MD

  • Ophthalmology Physician
  • Charleston, SC
National Provider Identifier
1497733794
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
13052 Issued in SC
Practice address
2270 Ashley Crossing Dr
Ste 100
Charleston, SC 29414
Phone
(843) 556-2357
Fax
(843) 556-0350
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 13052 SC Primary

Addresses

Primary practice location

2270 Ashley Crossing Dr
Ste 100
Charleston, SC 29414

Mailing address

2270 Ashley Crossing Dr
Ste 100
Charleston, SC 29414
Phone (843) 556-2357

Other identifiers 1

IdentifierTypeStateIssuer
PA6314MedicaidSC

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050211000166 SC Practitioner - Ophthalmology 9739131327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical University of South Carolina College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Center of CharlestonGroup PAC ID 9032210083, 5 clinicians

Practice addresses (Care Compare)

2270 Ashley Crossing Dr
Suite 100
Charleston, SC 29414-5749
Phone (843) 556-2357

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13052SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Center of Charleston Ophthalmology CurrentSince Apr 6, 1993 Accepting new patients

Locations

2270 Ashley Crossing Dr
Ste 100
Charleston, SC 29414
Phone (843) 556-2357

149 Saint James Ave
Goose Creek, SC 29445
Phone (843) 724-3456

Interoperability endpoints

  • Direct secure messaging: jkulze@ecoc.intellechartdirect.net

Organizations & group practices 1

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497733794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 ASHLEY CROSSING DR",
            "address_2": "STE 100",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29414",
            "telephone_number": "843-556-2357",
            "fax_number": "843-556-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 ASHLEY CROSSING DR",
            "address_2": "STE 100",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29414",
            "telephone_number": "843-556-2357",
            "fax_number": "843-556-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULZE",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "13052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA6314",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.