NPIMap

Organization Active NPI

Dubin Optometric Associates, P.C.

Doing business as Walterboro Eyecare Center

  • Optometrist
  • Walterboro, SC
National Provider Identifier
1649342205
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SC925 Issued in SC
Legal business name
DUBIN OPTOMETRIC ASSOCIATES, P.C.
Doing business as
Walterboro Eyecare Center
Practice address
201 Eddie Chasteen Dr
Walterboro, SC 29488-5728
Phone
(843) 549-2015
Fax
(843) 549-0104
NPI assigned
Nov 15, 2006
Last updated
Aug 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Authorized official

Name
Dr. Peter Charles Dubin, O.D.NPI 1720036759
Title
President
Phone
(843) 549-2015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X SC925 SC Primary

Addresses

Primary practice location

201 Eddie Chasteen Dr
Walterboro, SC 29488-5728

Mailing address

201 Eddie Chasteen Dr
Walterboro, SC 29488-5728
Phone (843) 549-2015

Other identifiers 1

IdentifierTypeStateIssuer
DO9257MedicaidSC

Other names 1

  • Walterboro Eyecare Center Doing business as

National Provider Directory

National Provider Directory

Locations

201 Eddie Chasteen Dr
Walterboro, SC 29488
Phone (843) 549-2015

Practitioners & affiliated clinicians

Practitioners 1

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": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1649342205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 EDDIE CHASTEEN DR",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294885728",
            "telephone_number": "843-549-2015",
            "fax_number": "843-549-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 EDDIE CHASTEEN DR",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294885728",
            "telephone_number": "843-549-2015",
            "fax_number": "843-549-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBIN OPTOMETRIC ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "DUBIN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-549-2015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "SC925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DO9257",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walterboro Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walterboro, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.