Palmetto Vision

Primary specialty

OptometristTaxonomy code 152W00000X

License

1166 Issued in SC

Legal business name

PALMETTO VISION

Practice address

2110 Bells Hwy
Walterboro, SC 29488-6978

Phone

(843) 559-1992

Fax

(843) 539-1994

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Robert P Aitken, OD

Title

President

Phone

(843) 539-1992

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• William Terry Allen, O.D.

  • Corneal and Contact Management Optometrist
  • Charleston, SC
  • NPI 1891876603
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1861540569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 ASHLEY CROSSING DR UNIT A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145704",
            "telephone_number": "843-559-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 BELLS HWY",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294886978",
            "telephone_number": "843-559-1992",
            "fax_number": "843-539-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "AITKEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-539-1992",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9712",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DQ7346",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• P. Spencer Witkin D.M.D. LLC
• Palmetto Cardiology and Vein
• Palmetto Foot Clinic
• Palmetto Foot Clinic Inc
• Palmetto Primary Care Physicians, LLC
• Walter Raphael Pangalangan, PT
• Regina Lynn Parker, CPSS, SAS
• Hemali Patel
• Nicole Patz, CPHT
• Peaches of Love

• Optometrist in Walterboro, SC
• Providers in Walterboro, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.