Comprehensive Eyecare at West Ashley LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

COMPREHENSIVE EYECARE AT WEST ASHLEY LLC

Practice address

3050 Ashley Town Center Dr
Charleston, SC 29414-5664

Phone

(912) 348-4584

NPI assigned

Apr 3, 2023

Organization subpart

No

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

Authorized official

Name

Chelsea Sceusa, ODNPI 1417323403

Title

Managing Employee

Phone

(912) 348-4584

Specialties & licenses 1

Addresses

Other names 1

• Comprehensive Eye Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 2

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

• Chelsea Sceusa, OD

  • Optometrist
  • Pooler, GA
  • NPI 1417323403

  SC

  Medicare reassignment NPD Authorized official
• Karyssa Huynh Davis, O.D.

  • Optometrist
  • Charleston, SC
  • NPI 1710662440
  Medicare reassignment NPD

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1902501547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 ASHLEY TOWN CENTER DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 ASHLEY TOWN CENTER DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145664",
            "telephone_number": "912-348-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE EYECARE AT WEST ASHLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "SCEUSA",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "912-348-4584",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.revolutionehr.com",
            "affiliation": "Y",
            "affiliationName": "Comprehensive Eyecare LLC",
            "address_1": "3050 Ashley Town Center Dr",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294145664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Comprehensive Eye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.