Carolina Eyecare Physicians, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

CAROLINA EYECARE PHYSICIANS, LLC

Practice address

2060 Charlie Hall Blvd Ste 201
Charleston, SC 29414-6066

Phone

(843) 722-2010

Fax

(843) 723-3914

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Daniel Flynn

Title

Practice Administrator

Phone

(843) 725-0064

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Carolina Eyecare Physicians LLC

  • Eyewear Supplier
  • Mount Pleasant, SC
  • NPI 1255904538

  9638070436

  Same PAC ID
• Carolina Eyecare Physicians LLC

  • Eyewear Supplier
  • Moncks Corner, SC
  • NPI 1598618985

  9638070436

  Same PAC ID
• Carolina Eyecare Physicians LLC

  • Ophthalmology Physician
  • N Charleston, SC
  • NPI 1659421238

  9638070436

  Same PAC ID
• Carolina Eyecare Physicians, LLC

  • Eyewear Supplier
  • Charleston, SC
  • NPI 1417768797

  9638070436

  Same PAC ID
• Carolina Eyecare Physicians, LLC

  • Eyewear Supplier
  • North Charleston, SC
  • NPI 1578589289

  9638070436

  Same PAC ID
• Carolina Eyecare Physicians, LLC

  • Eyewear Supplier
  • Walterboro, SC
  • NPI 1790706927

  9638070436

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Carolina Eyecare Phys LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Carolina Eyecare Physicians LLC

  • Eyewear Supplier
  • Mount Pleasant, SC
  • NPI 1255904538
  NPD tax ID
• Carolina Eyecare Physicians LLC

  • Eyewear Supplier
  • Moncks Corner, SC
  • NPI 1598618985
  NPD tax ID
• Carolina Eyecare Physicians, LLC

  • Eyewear Supplier
  • Charleston, SC
  • NPI 1417768797
  NPD tax ID
• Carolina Eyecare Physicians, LLC

  • Eyewear Supplier
  • North Charleston, SC
  • NPI 1578589289
  NPD tax ID
• Carolina Eyecare Physicians, LLC

  • Eyewear Supplier
  • Walterboro, SC
  • NPI 1790706927
  NPD tax ID

Locations

Practitioners 1

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

• Shawn D Thomas, OD

  • Optometrist
  • Murrells Inlet, SC
  • NPI 1295736445
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1669493896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2861 TRICOM ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069172",
            "telephone_number": "843-797-5511",
            "fax_number": "843-797-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 CHARLIE HALL BLVD STE 201",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146066",
            "telephone_number": "843-722-2010",
            "fax_number": "843-723-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA EYECARE PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "843-725-0064"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2149",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Center of Gynecological Oncology PA
• Carolina Chiropractic
• Carolina Coast Behavioral Services, LLC
• Carolina Dermatology Clinic, PA
• Carolina Eyecare Physicians, LLC
• Carolina Eyes
• Carolina Family Care
• Carolina Family Care
• Carolina Family Care Inc
• Carolina Family Care Inc

• Eyewear Supplier in Charleston, SC
• Providers in Charleston, SC by specialty
• Eyewear Supplier in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.