NPIMap

Beaufort Eye Optical

Organization Active NPI Ophthalmology Physician · Port Royal, SC

NPI 1831962695 · NPPES record last updated Nov 7, 2023

Key facts

NPI
1831962695
Entity type
Organization (NPI type 2)
Primary specialty
Ophthalmology Physician 207W00000X
Legal business name
BEAUFORT EYE OPTICAL
Practice address
1664 Ribaut Rd
Port Royal, SC 29935-1708
Phone
(843) 522-8466
NPI assigned
Nov 3, 2023
Organization subpart
No

Authorized official

Name
Demetrajane Kokinakis, DO NPI 1770579013
Title
Owner/President
Phone
(843) 521-7185

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

1664 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-8466

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207W00000X Yes

Addresses

Primary practice location

1664 Ribaut Rd
Port Royal, SC 29935-1708

Mailing address

1664 Ribaut Rd
Port Royal, SC 29935-1708
Phone (843) 522-8466

Other practice location 1

103 Okatie Center Blvd N Ste 103
Okatie, SC 29909-3765
Phone (843) 706-2440

Other providers in Port Royal, SC

All providers in Port Royal, SC · Ophthalmology Physician in South Carolina

Sources for this page

Verify at the official NPI Registry.