Pediatric Eye Care & Strabismus, P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

16005 Issued in SC

Legal business name

PEDIATRIC EYE CARE & STRABISMUS, P.C.

Practice address

1674 Cranium Dr
Suite 104
Rock Hill, SC 29732-3567

Phone

(803) 327-3937

Fax

(803) 792-0545

NPI assigned

Sep 29, 2014

Organization subpart

No

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

Authorized official

Name

Erin Booher Goshorn, M.D.NPI 1295783223

Title

President

Phone

(704) 236-3339

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/Freedom_PECS

Practitioners 1

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

• Erin Booher Goshorn, MD

  • Ophthalmology Physician
  • Rock Hill, SC
  • NPI 1295783223
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1508269093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1674 CRANIUM DR",
            "address_2": "SUITE 104",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323567",
            "telephone_number": "803-327-3937",
            "fax_number": "803-792-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1674 CRANIUM DR",
            "address_2": "SUITE 104",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323567",
            "telephone_number": "803-327-3937",
            "fax_number": "803-792-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC EYE CARE & STRABISMUS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "GOSHORN",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "BOOHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-236-3339",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "16005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8936361",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NATIONAL PROVIDER IDENTIFICATION",
            "identifier": "1295783223",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NT5996",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos Andres Paxtor, FNP
• Carlos G Paxtor, M.D.
• Danielle Gloria Payne, PHARMD
• Jane Pearson, RN
• Celeste M Peddy
• Pedo Carolina, Inc.
• Jennifer E Peelman, PA-C
• Alphonso Peeples, DDS
• Joy Pendarvis, CF-SLP
• Amanda Marie Pennington, M.D.

• Ophthalmology Physician in Rock Hill, SC
• Providers in Rock Hill, 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 Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.