Organization Active NPI

Premier Eye Care, P.a.

  • Optometrist
  • Mount Pleasant, SC
National Provider Identifier
1841212651
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Aug 18, 2008

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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.