Organization Active NPI

Trident Vision Center Inc

  • Eyewear Supplier
  • Charleston, SC
National Provider Identifier
1639331416
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
C61273 Issued in SC
Legal business name
TRIDENT VISION CENTER INC
Practice address
9304 Medical Plaza Dr
Unit C
Charleston, SC 29406-9143
Phone
(843) 572-0225
Fax
(843) 797-5512
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Dr. Sydney M Seltzer, MD
Title
Opthamologist
Phone
(843) 572-0225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X C61273 SC Primary

Addresses

Primary practice location

9304 Medical Plaza Dr
Unit C
Charleston, SC 29406-9143

Mailing address

9304 Medical Plaza Dr
Unit C
Charleston, SC 29406-9143
Phone (843) 572-0225

National Provider Directory

National Provider Directory

Locations

9304 Medical Plaza Dr
Ste C
Charleston, SC 29406
Phone (843) 572-0225

9304 Medical Plaza Dr
Unit C1
North Charleston, SC 29406
Phone (843) 572-0225

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1639331416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9304 MEDICAL PLAZA DR",
            "address_2": "UNIT C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069143",
            "telephone_number": "843-572-0225",
            "fax_number": "843-797-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9304 MEDICAL PLAZA DR",
            "address_2": "UNIT C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069143",
            "telephone_number": "843-572-0225",
            "fax_number": "843-797-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIDENT VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "SELTZER",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTHAMOLOGIST",
        "authorized_official_telephone_number": "843-572-0225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "SC",
            "license": "C61273",
            "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 Jul 22, 2008; 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.