Organization Active NPI

Preferred Eyecare Center, LLC

  • Optometrist
  • Mount Pleasant, SC
National Provider Identifier
1598924151
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1473 Issued in SC
Legal business name
PREFERRED EYECARE CENTER, LLC
Practice address
1118 Park West Blvd
Suite 5
Mount Pleasant, SC 29466-7124
Phone
(843) 856-4775
NPI assigned
Jun 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Authorized official

Name
Dr. Rachael Cathleen Click, O.D.NPI 1558560003
Title
Ceo
Phone
(843) 856-4775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 1473 SC Primary

Addresses

Primary practice location

1118 Park West Blvd
Suite 5
Mount Pleasant, SC 29466-7124

Mailing address

1054 Anna Knapp Blvd Apt 12F
Mount Pleasant, SC 29464-3168
Phone (843) 822-9793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080903000147 SC Part B Supplier - Clinic/Group Practice 4385710136 Receives reassigned benefits from 5 practitioners
Practice locations: Mount Pleasant, SC

National Provider Directory

National Provider Directory

Locations

1118 Park West Blvd
Mount Pleasant, SC 29466

1118 Park West Blvd
Ste 5
Mt Pleasant, SC 29466
Phone (843) 856-4775

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1212883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1598924151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 ANNA KNAPP BLVD APT 12F",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643168",
            "telephone_number": "843-822-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 PARK WEST BLVD",
            "address_2": "SUITE 5",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667124",
            "telephone_number": "843-856-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED EYECARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-08",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "CLICK",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_middle_name": "CATHLEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-856-4775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.