Mona L Camacci, MD
Individual provider Active NPI Ophthalmology Physician · Charleston, SC
NPI 1669900114 · NPPES record last updated Apr 18, 2024
Key facts
- NPI
- 1669900114
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 89288 (SC)
- Practice address
- 3531 Mary Ader Ave
Charleston, SC 29414-5896 - Phone
- (843) 763-4466
- NPI assigned
- May 30, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Charleston Neurosciences Institute
Practice addresses (Care Compare)
1181 Ribaut Rd
Suite 200
Beaufort, SC 29902-6216
Phone (843) 763-4466
Hospital & facility affiliations
- Beaufort County Memorial Hospital
- Novant Health Hilton Head Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210505002317 | NY | Practitioner - Ophthalmology | 3476962382 | Reassigns benefits to 1 organization |
| I20230617000412 | SC | Practitioner - Ophthalmology | 3476962382 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 308838 | NY | MD | Ophthalmology Physician |
| 89288 | SC | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strong Eye Care | Ophthalmology | Current |
Accepting new patients |
| Charleston Neurosciences Institute | Ophthalmology | Current |
Accepting new patients |
| Charleston Neuroscience Institute LLC | Current |
Accepting new patients |
Locations
601 Elmwood Ave
#659
Rochester, NY 14642
Phone (585) 275-0378
601 Elmwood Ave
#888
Rochester, NY 14642
Phone (585) 784-9582
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
1181 Ribaut Rd
#200
Beaufort, SC 29902
8 Arley Way
#100
Bluffton, SC 29910
Phone (843) 815-5436
3531 Mary Ader Ave
Ste D
Charleston, SC 29414
3531 Mary Ader Ave
Charleston, SC 29414
Phone (843) 352-0674
15 Lafayette Pl
Ste A
Hilton Head Island, SC 29926
Phone (203) 288-2020
130 S Acline St
Lake City, SC 29560
Phone (843) 374-3277
Interoperability endpoints
- mcamacci@retinacharleston.intellechartdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 308838 | NY | |
| Ophthalmology Physician | 207W00000X | 308838 | NY | |
| Ophthalmology Physician | 207W00000X | 89288 | SC | Yes |
Addresses
Primary practice location
3531 Mary Ader Ave
Charleston, SC 29414-5896
Mailing address
3531 Mary Ader Ave
Charleston, SC 29414-5896
Phone (843) 763-4466
Other practice location 1
601 Elmwood Ave
Rochester, NY 14642-2360
Phone (585) 273-3937
Other names
- Mona Lotfipour
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mcamacci230927@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | mcamacci230927@direct.urmc.rochester.edu | Direct |
Other providers in Charleston, SC
- Adam Patrick Callahan
- Krystina E Callahan
- Marsha C. Callahan
- Shannon Calvert
- Calvin Jonathan Bosman LLC
- Jessica Camacho
- Alexis Cameron
- Lindsay Cameron
- Kateland May Camp
- Melissa D Camp
All providers in Charleston, SC · Ophthalmology Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.