Organization Active NPI

Phillip Reiheld, OD

  • Optometrist
  • Charleston, SC
National Provider Identifier
1679610414
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
862 Issued in SC
Legal business name
PHILLIP REIHELD, OD
Practice address
331 King St
Charleston, SC 29401-1438
Phone
(843) 723-0021
Fax
(843) 722-5986
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Authorized official

Name
Dr. Phillip Reiheld, OD
Title
President
Phone
(843) 723-0021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 862 SC Primary

Addresses

Primary practice location

331 King St
Charleston, SC 29401-1438

Mailing address

331 King St
Charleston, SC 29401-1438
Phone (843) 723-0021

Other identifiers 1

IdentifierTypeStateIssuer
P00635039OtherSCRAIL ROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

331 King St
Charleston, SC 29401
Phone (843) 577-6127

Practitioners & affiliated clinicians

Practitioners 1

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": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1679610414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 KING ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011438",
            "telephone_number": "843-723-0021",
            "fax_number": "843-722-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 KING ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011438",
            "telephone_number": "843-723-0021",
            "fax_number": "843-722-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP REIHELD, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "REIHELD",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-723-0021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00635039",
            "state": "SC"
        }
    ],
    "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 Apr 25, 2011; 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.