NPIMap

Organization Active NPI

Eye Associates of Charleston Inc

  • Optometrist
  • Charleston, SC
National Provider Identifier
1609335348
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE ASSOCIATES OF CHARLESTON INC
Practice address
975 Savannah Hwy SPC 10
Charleston, SC 29407-7859
Phone
(843) 627-2020
Fax
(843) 627-2020
NPI assigned
Mar 12, 2019
Last updated
Oct 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Dr. Bradley Powers, ODNPI 1881141562
Title
President
Phone
(731) 307-8493

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: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

975 Savannah Hwy SPC 10
Charleston, SC 29407-7859

Mailing address

470 Town Center PL Ste 5
Columbia, SC 29229-7957
Phone (843) 627-2020

Other practice location 1

2150 Northwoods Blvd Unit E2
North Charleston, SC 29406-4043
Phone (843) 627-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190916001652 SC Part B Supplier - Clinic/Group Practice 2466781547 Receives reassigned benefits from 6 practitioners
Practice locations: Charleston, SC; N Charleston, SC

National Provider Directory

National Provider Directory

Locations

2070 Sam Rittenberg Blvd
#200
Charleston, SC 29407

2070 Sam Rittenberg Blvd
#412
Charleston, SC 29407

975 Savannah Hwy
#10
Charleston, SC 29407
Phone (843) 627-2020

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1609335348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 TOWN CENTER PL STE 5",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297957",
            "telephone_number": "843-627-2020",
            "fax_number": "843-627-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 SAVANNAH HWY SPC 10",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077859",
            "telephone_number": "843-627-2020",
            "fax_number": "843-627-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 Northwoods Blvd Unit E2",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294064043",
            "country_code": "US",
            "telephone_number": "843-627-2020",
            "fax_number": "843-627-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EYE ASSOCIATES OF CHARLESTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "731-307-8493",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.