Active NPI
Premier Eye Care, P.a.
- Optometrist
- Mount Pleasant, SC
National Provider Identifier
1841212651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- PREMIER EYE CARE, P.A.
- Practice address
- 652 Coleman Blvd
Suite 104
Mount Pleasant, SC 29464 - Phone
- (843) 849-2717
- Fax
- (843) 849-2718
- NPI assigned
- Jul 24, 2006
- 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
- Dr. Michael David Criswell, O.D.
- Title
- VP/Treasurer/Optometrist
- Phone
- (843) 849-2717
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
652 Coleman Blvd
Suite 104
Mount Pleasant, SC 29464
Mailing address
652 Coleman Blvd
Suite 104
Mount Pleasant, SC 29464
Phone (843) 849-2717
National Provider Directory
National Provider DirectoryLocations
3861 W Ashley Cir
Unit 120
Charleston, SC 29414
Phone (843) 849-2717
652 Coleman Blvd
Ste 104
Mt Pleasant, SC 29464
Phone (843) 277-1093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219017600000",
"number": "1841212651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "652 COLEMAN BLVD",
"address_2": "SUITE 104",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "29464",
"telephone_number": "843-849-2717",
"fax_number": "843-849-2718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "652 COLEMAN BLVD",
"address_2": "SUITE 104",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "29464",
"telephone_number": "843-849-2717",
"fax_number": "843-849-2718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER EYE CARE, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-24",
"last_updated": "2008-08-18",
"status": "A",
"authorized_official_last_name": "CRISWELL",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "VP/TREASURER/OPTOMETRIST",
"authorized_official_telephone_number": "843-849-2717",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.