Palmetto Eye Associates

Primary specialty

OptometristTaxonomy code 152W00000X

License

1053 Issued in SC

Legal business name

PALMETTO EYE ASSOCIATES

Practice address

2745 Monroe St
Columbia, SC 29205-2536

Phone

(803) 758-0058

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeff Pockl, O.D.

Title

Owner

Phone

(803) 758-0058

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Tax ID family

Palmetto Eye Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Palmetto Eye Associates

  dba santee eye clinic

  • Optometrist
  • Santee, SC
  • NPI 1184861411
  NPD tax ID

Locations

Practitioners 2

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

• Jeffrey Stephen Pockl, OD

  • Optometrist
  • Columbia, SC
  • NPI 1659364826
  Medicare reassignment NPD
• David Jeffrey Matthews, O.D.

  • Optometrist
  • Columbia, SC
  • NPI 1588775423
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1972549954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 MONROE ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292052536",
            "telephone_number": "803-758-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 MONROE ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292052536",
            "telephone_number": "803-758-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "POCKL",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-758-0058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9713",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palmetto Endodontics, LLC
• Palmetto Endodontics, LLC
• Palmetto Endoscopy Professionals PA
• Palmetto Endoscopy Suite, LLC
• Palmetto ENT Consultants, P.a.
• Palmetto Family and Cosmetic Dentistry III (Palmetto Family and Cosmetic Dentistry)
• Palmetto Family Dentistry of Columbia
• Palmetto Family Medicine
• Palmetto Family Service Center of SC
• Palmetto Family Service Center, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.