Organization Active NPI

Goulas Eye

  • Ophthalmology Physician
  • Bluffton, SC
National Provider Identifier
1629419007
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GOULAS EYE
Practice address
23 Plantation Park Dr Ste 401
Bluffton, SC 29910-6094
Phone
(843) 757-9661
Fax
(843) 757-9665
NPI assigned
Jul 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Authorized official

Name
Rebecca Gianniotis
Title
Operations Manager
Phone
(845) 815-5454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

23 Plantation Park Dr Ste 401
Bluffton, SC 29910-6094

Mailing address

23 Plantation Park Dr
Suite 401
Bluffton, SC 29910-6038
Phone (843) 757-9661

Other practice location 1

60 N Main St Unit A
Hilton Head Island, SC 29926-6603
Phone (843) 815-5454

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131001000136 SC Part B Supplier - Clinic/Group Practice 1052545241 Receives reassigned benefits from 3 practitioners
Practice locations: Bluffton, SC; Hilton Head Island, SC

National Provider Directory

National Provider Directory

Locations

23 Plantation Park Dr
Bluffton, SC 29910

60 Main St
Hilton Head Island, SC 29926
Phone (843) 681-1935

60 Main St
Ste 101
Hilton Head Island, SC 29926
Phone (843) 815-5454

60 Main St
Bldg 1
Hilton Head Island, SC 29926

40 Okatie Center Blvd S
Okatie, SC 29909
Phone (843) 705-8804

Practitioners & affiliated clinicians

Practitioners 3

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": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1629419007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 PLANTATION PARK DR",
            "address_2": "SUITE 401",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106038",
            "telephone_number": "843-757-9661",
            "fax_number": "843-757-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 PLANTATION PARK DR STE 401",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106094",
            "telephone_number": "843-757-9661",
            "fax_number": "843-757-9665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 N Main St Unit A",
            "address_purpose": "LOCATION",
            "city": "Hilton Head Island",
            "state": "SC",
            "postal_code": "299266603",
            "country_code": "US",
            "telephone_number": "843-815-5454",
            "fax_number": "843-757-9665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOULAS EYE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "GIANNIOTIS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "845-815-5454"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.