Hilton Head Retina Institute, LLC

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

HILTON HEAD RETINA INSTITUTE, LLC

Practice address

15 Lafayette PL Ste C
Hilton Head Island, SC 29926-2277

Phone

(270) 556-3080

NPI assigned

Oct 6, 2020

Organization subpart

No

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

Authorized official

Name

Carl Wakefield Baker, MDNPI 1154398253

Title

President

Phone

(270) 556-3080

Specialties & licenses 1

Addresses

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.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Carl W Baker, MD

  • Retina Specialist (Ophthalmology) Physician
  • Hilton Head Island, SC
  • NPI 1154398253
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1508463142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 SPANISH POINTE DR",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299261436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LAFAYETTE PL STE C",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262277",
            "telephone_number": "270-556-3080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 New River Pkwy Ste 31",
            "address_purpose": "LOCATION",
            "city": "Hardeeville",
            "state": "SC",
            "postal_code": "299274451",
            "country_code": "US",
            "telephone_number": "270-556-3080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HILTON HEAD RETINA INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "WAKEFIELD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-556-3080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilton Head Regional Physician Group LLC
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• Hilton Head Regional Physician Group LLC
• Hilton Head Regional Physician Network, LLC
• Hilton Head Sports Medicine
• Hilton Hess Dental
• Hinshelwood and Criss LLC
• Sandra Jo Hoffmann, MD
• Rey Holcomb, PT

• Retina Specialist (Ophthalmology) Physician in Hilton Head Island, SC
• Providers in Hilton Head Island, SC by specialty
• Retina Specialist (Ophthalmology) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.