Sea Island Ophthalmology

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

23932 Issued in SC

Legal business name

SEA ISLAND OPHTHALMOLOGY

Practice address

989 Ribaut Rd Ste 200
Beaufort, SC 29902-5481

Phone

(843) 525-1500

Fax

(843) 525-6107

NPI assigned

Jan 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark S Siegel, MDNPI 1285614016

Title

President

Phone

(843) 525-1500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 3

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.

• Mark Samuel Siegel, M.D.

  • Ophthalmology Physician
  • Beaufort, SC
  • NPI 1285614016
  Medicare reassignment NPD Authorized official
• Anthony Kameen Jr., M.D.

  • Ophthalmology Physician
  • Towson, MD
  • NPI 1194807727

  SC

  Medicare reassignment NPD
• Jason Halverson, M.D.

  • Ophthalmology Physician
  • Twin Falls, ID
  • NPI 1619921236
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700943743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 RIBAUT RD STE 200",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025481",
            "telephone_number": "843-525-1500",
            "fax_number": "843-525-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 RIBAUT RD STE 200",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025481",
            "telephone_number": "843-525-1500",
            "fax_number": "843-525-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA ISLAND OPHTHALMOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-525-1500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "23932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Groves Scott, DMD, MSD
• Narlea Katrina Scott, LPCA
• Martha Sheldon Scotty, DMD
• Sea Island Dentistry, P.C.
• Sea Island Ophthalmology
• Sea Island Pediatrics
• Natasha Lynette Seabrook
• Carly Searson
• Charlotte Peacock Seepe, CRNA
• Michael Conner Seepe Jr., CRNA

• Ophthalmology Physician in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Ophthalmology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.