Rahul K. Gupta

Primary specialty

OptometristTaxonomy code 152W00000X

License

1376 Issued in SC

Legal business name

RAHUL K. GUPTA

Doing business as

Eyes of Charleston, LLC

Practice address

1890 Sam Rittenberg Blvd Ste 107
Charleston, SC 29407-4801

Phone

(843) 763-2020

Fax

(843) 763-2021

NPI assigned

Apr 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Rahul Kumar Gupta, ODNPI 1538252614

Title

Doctor of Optometry

Phone

(843) 763-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eyes of Charleston, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 3

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

• Rahul Kumar Gupta, OD

  • Optometrist
  • Charleston, SC
  • NPI 1538252614
  Medicare reassignment NPD Authorized official
• Donald Lee Anderson, OPTICIAN LDO

  • Optician
  • Charleston, SC
  • NPI 1255329827
  NPD
• Paul M Beranek, OD

  • Optometrist
  • Charleston, SC
  • NPI 1073672309
  NPD (past)

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1568635696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SAM RITTENBERG BLVD STE 107",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074801",
            "telephone_number": "843-763-2020",
            "fax_number": "843-763-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SAM RITTENBERG BLVD STE 107",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074801",
            "telephone_number": "843-763-2020",
            "fax_number": "843-763-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAHUL K. GUPTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "843-763-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D13679",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes of Charleston, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly R Ragucci, PHARMD, BCPS, CDE
• Fiona Fang Rahbar, M.D.
• Arifeen Sylvanna Rahman, MD
• Rakin Rahman
• Anne M Rahtjen, PHARMD
• Rai Care Centers of South Carolina I, LLC
• Dipinpreet Kaur Rai, M.D
• Emma Grace Raidt
• Robert Arthur Raidt III, MD
• Isabella Emmelie Raieta

• Optometrist in Charleston, SC
• Providers in Charleston, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.