NPIMap

Organization Active NPI

Eye Care Specialties Group - Kiawah

Doing business as Village Optical

  • Optometrist
  • Johns Island, SC
National Provider Identifier
1861631343
Registry record updated Feb 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE CARE SPECIALTIES GROUP - KIAWAH
Doing business as
Village Optical
Practice address
130 Gardners Cir
PMB 159
Johns Island, SC 29455-5467
Phone
(843) 768-0565
NPI assigned
Feb 6, 2009
Last updated
Feb 6, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
EYE CARE SPECIALTIES GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 6, 2009

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

Authorized official

Name
Dr. Michael Z Morabito, O.D.
Title
Manager
Phone
(843) 557-2865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

130 Gardners Cir
PMB 159
Johns Island, SC 29455-5467

Mailing address

130 Gardners Cir
PMB 159
Johns Island, SC 29455-5467
Phone (843) 768-0565

Other names 1

  • Village Optical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eye Care Specialties Group - Kiawah4 organizations share this tax ID, including this one
Part of
Eye Care Specialties Group - Kiawah

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233878400000",
    "number": "1861631343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 GARDNERS CIR",
            "address_2": "PMB 159",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294555467",
            "telephone_number": "843-768-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 GARDNERS CIR",
            "address_2": "PMB 159",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294555467",
            "telephone_number": "843-768-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE SPECIALTIES GROUP - KIAWAH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE CARE SPECIALTIES GROUP, LLC",
        "enumeration_date": "2009-02-06",
        "last_updated": "2009-02-06",
        "status": "A",
        "authorized_official_last_name": "MORABITO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "843-557-2865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johns Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; 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.