Organization Active NPI

Carolina Eye Services, LLC

  • Optometrist
  • Mt Pleasant, SC
National Provider Identifier
1881996346
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5091 Issued in SC
Legal business name
CAROLINA EYE SERVICES, LLC
Practice address
601 Mathis Ferry Rd
Mt Pleasant, SC 29464-7620
Phone
(843) 884-9490
NPI assigned
Dec 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Authorized official

Name
Norris Richard Philbeck, ODNPI 1275608499
Title
Owner
Phone
(843) 884-9490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5091 SC Primary

Addresses

Primary practice location

601 Mathis Ferry Rd
Mt Pleasant, SC 29464-7620

Mailing address

1280 Appling Dr
#303
Mt Pleasant, SC 29464-4879

Other identifiers 1

IdentifierTypeStateIssuer
DA9610MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111024000275 SC Part B Supplier - Clinic/Group Practice 8628241460 Receives reassigned benefits from 1 practitioner
Practice locations: North Charleston, SC; Orangeburg, SC; Charleston, SC; Pawleys Island, SC; Santee, SC; Summerville, SC; Mount Pleasant, SC; Beaufort, SC…

National Provider Directory

National Provider Directory

Locations

5342 Hard Scrabble Rd
Blythewood, SC 29016

1660 Ingram Rd
Charleston, SC 29407
Phone (843) 556-8314

1612 Evergreen St
Charleston, SC 29407

104 Marilyn St
Goose Creek, SC 29445
Phone (843) 553-8389

9270 N Highway 17
Mc Clellanville, SC 29458
Phone (843) 722-4416

1301 Old Highway 52
Moncks Corner, SC 29461
Phone (843) 761-0300

1049 Anna Knapp Blvd
Mt Pleasant, SC 29464
Phone (843) 284-7344

2712 Midland Park Rd
North Charleston, SC 29406
Phone (843) 569-0025

3117 Meeting Street Rd
North Charleston, SC 29405

152 Founders CT
Orangeburg, SC 29118

1000 Methodist Oaks Dr
Orangeburg, SC 29115
Phone (770) 500-2705

118 Britain St
Santee, SC 29142
Phone (803) 854-2020

Practitioners & affiliated clinicians

Practitioners 1

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": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1881996346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 APPLING DR",
            "address_2": "#303",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294644879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MATHIS FERRY RD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294647620",
            "telephone_number": "843-884-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA EYE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-03",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "PHILBECK",
        "authorized_official_first_name": "NORRIS",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-884-9490",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "5091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9610",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.