Active NPI
Glaucoma Consultants and Center for Eye Research, PA
- Ophthalmology Physician
- Mount Pleasant, SC
National Provider Identifier
1710094586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP3188 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
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.