Organization Active NPI

Dry Eye Center of Beaufort

  • Optometrist
  • Beaufort, SC
National Provider Identifier
1699538199
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DRY EYE CENTER OF BEAUFORT
Practice address
970 Ribaut Rd Ste 2
Beaufort, SC 29902-5492
Phone
(843) 510-7341
NPI assigned
Feb 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Melissa Gunter
Title
Billing Lead
Phone
(803) 732-4099

Specialties & licenses 1

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

Addresses

Primary practice location

970 Ribaut Rd Ste 2
Beaufort, SC 29902-5492

Mailing address

970 Ribaut Rd Ste 2
Beaufort, SC 29902-5492
Phone (843) 510-7341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240509000108 SC Part B Supplier - Clinic/Group Practice 4284075250 Receives reassigned benefits from 1 practitioner
Practice locations: Beaufort, SC

National Provider Directory

National Provider Directory

Locations

970 Ribaut Rd
Ste 2
Beaufort, SC 29902
Phone (843) 510-7342

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": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1699538199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 RIBAUT RD STE 2",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025492",
            "telephone_number": "843-510-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 RIBAUT RD STE 2",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025492",
            "telephone_number": "843-510-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRY EYE CENTER OF BEAUFORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "GUNTER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "BILLING LEAD",
        "authorized_official_telephone_number": "803-732-4099"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.