Organization Active NPI

Carolina Eyecare Physicians, LLC

  • Eyewear Supplier
  • Summerville, SC
National Provider Identifier
1851681290
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
CAROLINA EYECARE PHYSICIANS, LLC
Practice address
296 Midland Pkwy
Summerville, SC 29485-8101
Phone
(843) 873-5577
NPI assigned
Apr 19, 2011
Last updated
Jan 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Mr. Daniel G Flynn
Title
Practice Administrator
Phone
(843) 725-0064

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X SC Primary
Optician 156FX1800X SC

Addresses

Primary practice location

296 Midland Pkwy
Summerville, SC 29485-8101

Mailing address

2861 Tricom St
N Charleston, SC 29406-9172
Phone (843) 863-1304

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Carolina Eyecare Physicians LLC296 Midland Pkwy, Summerville, SC 29485-8101(843) 873-5577 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Jul 16, 1998

National Provider Directory

National Provider Directory

Locations

2861 Tricom St
North Charleston, SC 29406
Phone (843) 725-0064

Practitioners & affiliated clinicians

Practitioners 5

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": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1851681290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2861 TRICOM ST",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069172",
            "telephone_number": "843-863-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 MIDLAND PKWY",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858101",
            "telephone_number": "843-873-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA EYECARE PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "843-725-0064",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "SC",
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "SC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.