Organization Active NPI

Glaucoma Consultants and Center for Eye Research, PA

  • Ophthalmology Physician
  • Mount Pleasant, SC
National Provider Identifier
1710094586
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GLAUCOMA CONSULTANTS AND CENTER FOR EYE RESEARCH, PA
Practice address
721 Long Point Rd
Suite 407
Mt Pleasant, SC 29464-8297
Phone
(843) 884-1011
Fax
(843) 884-4773
NPI assigned
Aug 25, 2006
Last updated
Feb 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Authorized official

Name
Mrs. Robin D, Guerry
Title
Office Manager
Phone
(843) 884-1011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

721 Long Point Rd
Suite 407
Mt Pleasant, SC 29464-8297

Mailing address

721 Long Point Rd
Suite 407
Mt Pleasant, SC 29464-8297
Phone (843) 884-1011

Other identifiers 1

IdentifierTypeStateIssuer
GP3188MedicaidSC

National Provider Directory

National Provider Directory

Locations

735 Johnnie Dodds Blvd
Ste 101
Mt Pleasant, SC 29464
Phone (843) 216-2020

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1710094586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 LONG POINT RD",
            "address_2": "SUITE 407",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294648297",
            "telephone_number": "843-884-1011",
            "fax_number": "843-884-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 LONG POINT RD",
            "address_2": "SUITE 407",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294648297",
            "telephone_number": "843-884-1011",
            "fax_number": "843-884-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAUCOMA CONSULTANTS AND CENTER FOR EYE RESEARCH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "GUERRY",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "D,",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-884-1011",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3188",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.