Organization Active NPI

Patterson Eye Associates

  • Medical Specialty Clinic/Center
  • Florence, SC
National Provider Identifier
1851917025
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
PATTERSON EYE ASSOCIATES
Practice address
1800 W Palmetto St
Florence, SC 29501-4138
Phone
(843) 665-1100
Fax
(943) 942-1499
NPI assigned
Jun 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Authorized official

Name
Patrick Patterson
Title
Owner
Phone
(843) 665-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

1800 W Palmetto St
Florence, SC 29501-4138

Mailing address

1800 W Palmetto St
Florence, SC 29501-4138
Phone (843) 665-1100

Other names 1

  • Patterson Eye Associates Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200921000898 SC Part B Supplier - Clinic/Group Practice 3577981737 Receives reassigned benefits from 1 practitioner
Practice locations: Florence, SC

National Provider Directory

National Provider Directory

Locations

1800 W Palmetto St
Florence, SC 29501
Phone (843) 665-1100

1800 W Evans St
Florence, SC 29501

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1851917025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014138",
            "telephone_number": "843-665-1100",
            "fax_number": "843-942-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014138",
            "telephone_number": "843-665-1100",
            "fax_number": "943-942-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTERSON EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-665-1100"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patterson Eye Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Patterson Eye Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.