NPIMap

Organization Active NPI

Eye on Eyes

  • Optometrist
  • Charleston, SC
National Provider Identifier
1851614358
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
989 Issued in SC
Legal business name
EYE ON EYES
Practice address
2070 Sam Rittenberg Blvd
Suite 412
Charleston, SC 29407-4605
Phone
(843) 556-8844
Fax
(843) 556-9335
NPI assigned
Mar 11, 2010
Last updated
Jul 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Authorized official

Name
Diana Medlin, ODNPI 1235164864
Title
Owner
Phone
(843) 556-8844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 989 SC Primary

Addresses

Primary practice location

2070 Sam Rittenberg Blvd
Suite 412
Charleston, SC 29407-4605

Mailing address

2070 Sam Rittenberg Blvd
Suite 412
Charleston, SC 29407-4605
Phone (843) 556-8844

National Provider Directory

National Provider Directory

Locations

2070 Sam Rittenberg Blvd
Ste 412
Charleston, SC 29407
Phone (843) 556-8844

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1851614358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 SAM RITTENBERG BLVD",
            "address_2": "SUITE 412",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074605",
            "telephone_number": "843-556-8844",
            "fax_number": "843-556-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 SAM RITTENBERG BLVD",
            "address_2": "SUITE 412",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074605",
            "telephone_number": "843-556-8844",
            "fax_number": "843-556-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ON EYES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "MEDLIN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-556-8844",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.