Palmetto Oculoplastics

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MD31662 Issued in SC

Legal business name

PALMETTO OCULOPLASTICS

Practice address

613 Long Point Rd
Suite 201
Mt Pleasant, SC 29464-8350

Phone

(478) 845-3515

Fax

(478) 845-3516

NPI assigned

Oct 6, 2016

Last updated

Oct 6, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Byron Deen, MD

Title

Owner

Phone

(478) 845-3515

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Francisco Andres Folgar, M.D.

  • Ophthalmology Physician
  • Mount Pleasant, SC
  • NPI 1801060454
  NPD
• John D Gross, M.D.

  • Ophthalmology Physician
  • Mount Pleasant, SC
  • NPI 1710995543
  NPD
• Doan Tam Bloomquist, M.D

  • Ophthalmology Physician
  • Augusta, GA
  • NPI 1700178308
  NPD

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1548710155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 MAIN ST",
            "city": "BARNESVILLE",
            "state": "GA",
            "postal_code": "302041469",
            "telephone_number": "478-845-3515",
            "fax_number": "478-845-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 LONG POINT RD",
            "address_2": "SUITE 201",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294648350",
            "telephone_number": "478-845-3515",
            "fax_number": "478-845-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO OCULOPLASTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "DEEN",
        "authorized_official_first_name": "BYRON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-845-3515",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "SC",
            "license": "MD31662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palmetto Assessments and Learning Services
• Palmetto Endoscopy Center - Mt Pleasant LLC
• Palmetto Facial Surgery Center, LLC
• Palmetto Mt. Pleasant Behavioral Health LLC (Sea Grove Recovery)
• Palmetto Natural Health LLC (Bruce Kesten, DC)
• Palmetto Ortho of Chas, PA
• Palmetto Podiatry P.a.
• Palmetto Primary Care Physicians, LLC
• Palmetto Primary Care Physicians, LLC
• Palmetto Primary Care Physicians, LLC

• Medical Specialty Clinic/Center in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Medical Specialty Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.